Rivers Edge Sexual Recovery Center

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

NLC0105362 Issued in CO

Legal business name

RIVERS EDGE SEXUAL RECOVERY CENTER

Practice address

1354 E Sherwood Dr # 108
Grand Junction, CO 81501-7546

Phone

(970) 708-0853

NPI assigned

Oct 14, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Sherron Kilgore, PSYCHOTHERAPISTNPI 1669195004

Title

Lead Therapist

Phone

(970) 708-0853

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sherron Kilgore, MBA, ASAT,BSW

  • Professional Counselor
  • Grand Junction, CO
  • NPI 1669195004
  NPD Authorized official

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

{
    "created_epoch": "1507939200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1507939200000",
    "number": "1346751559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1354 E SHERWOOD DR # 108",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815017546",
            "telephone_number": "970-708-0853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1354 E SHERWOOD DR # 108",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815017546",
            "telephone_number": "970-708-0853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERS EDGE SEXUAL RECOVERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-14",
        "last_updated": "2017-10-14",
        "status": "A",
        "authorized_official_last_name": "KILGORE",
        "authorized_official_first_name": "SHERRON",
        "authorized_official_title_or_position": "LEAD THERAPIST",
        "authorized_official_telephone_number": "970-708-0853",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PSYCHOTHERAPIST"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CO",
            "license": "NLC0105362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naomi A Ritthaler
• Kyra S Rivenloch, LCSW
• River Valley Chiropractic, LLC
• River Valley Dental Clinic, PC
• Rivers Edge Pain Specialists PLLC
• Saba A Rizvi, MD
• Rlmay, LLC
• Rlmay, LLC
• Roam & Wonder Wellness, LLC
• Peter John Robbiano, M.D.

• Community/Behavioral Health Agency in Grand Junction, CO
• Providers in Grand Junction, CO by specialty
• Community/Behavioral Health Agency in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2017; 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.