Individual provider Active NPI

Louis Philip River IV, PHD

  • Professional Counselor
  • Hinsdale, IL
National Provider Identifier
1346351269
Registry record updated Feb 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
149.012823 Issued in IL
Practice address
120 E Ogden Ave
#220
Hinsdale, IL 60521-3546
Phone
(630) 325-5300
Fax
(630) 325-5309
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 149.012823 IL Primary

Addresses

Primary practice location

120 E Ogden Ave
#220
Hinsdale, IL 60521-3546

Mailing address

120 E Ogden Ave
#220
Hinsdale, IL 60521-3546
Phone (630) 325-5300

Other names 1

  • Dr. L. Philip River Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
149.012823ILMDProfessional Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265673600000",
    "number": "1346351269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 E OGDEN AVE",
            "address_2": "#220",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213546",
            "telephone_number": "630-325-5300",
            "fax_number": "630-325-5309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E OGDEN AVE",
            "address_2": "#220",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605213546",
            "telephone_number": "630-325-5300",
            "fax_number": "630-325-5309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVER",
        "first_name": "LOUIS",
        "middle_name": "PHILIP",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2010-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "149.012823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "L.",
            "last_name": "RIVER",
            "middle_name": "PHILIP",
            "prefix": "DR.",
            "credential": "PHD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hinsdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.