Riverbend Counseling Services, PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

068.0069442 Issued in VT

Legal business name

RIVERBEND COUNSELING SERVICES, PLLC

Practice address

231 Concord Ave
Ste 2
St Johnsbury, VT 05819-1513

Phone

(802) 745-9567

Fax

(802) 467-8621

NPI assigned

Apr 29, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Shawn Michael Waldron, MA, LCMHC, LADC, NCC

Title

Owner/Provider

Phone

(802) 745-9567

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1461888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461888000000",
    "number": "1386099059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 CENTER ST",
            "city": "SUTTON",
            "state": "VT",
            "postal_code": "058679731",
            "telephone_number": "802-745-9567",
            "fax_number": "802-467-8621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 CONCORD AVE",
            "address_2": "STE 2",
            "city": "ST JOHNSBURY",
            "state": "VT",
            "postal_code": "058191513",
            "telephone_number": "802-745-9567",
            "fax_number": "802-467-8621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERBEND COUNSELING SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-29",
        "last_updated": "2016-04-29",
        "status": "A",
        "authorized_official_last_name": "WALDRON",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "802-745-9567",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA, LCMHC, LADC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VT",
            "license": "000644",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "VT",
            "license": "068.0069442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark J Regis, PA
• Miranda Kirstin Renfrow, DO
• Todd Russell Rexford, COTA
• Richard S. Kozlowski, DDS
• Markus Richard, DMD
• Leah Marie Rivers, LPN
• Robert J Jauch, MD
• Cheryl L Robinson, LCMHC
• Elaine L Robinson, NP
• Kevin A Rodgers, M.D.

• Mental Health Counselor in St Johnsbury, VT
• Providers in St Johnsbury, VT by specialty
• Mental Health Counselor in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2016; 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.