Organization Active NPI

Riverwood Counseling Center, LLC

  • Mental Health Counselor
  • Stevens Point, WI
National Provider Identifier
1396889267
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2230 Issued in WI
Legal business name
RIVERWOOD COUNSELING CENTER, LLC
Practice address
1052 Main St
Suite 202
Stevens Point, WI 54481-2848
Phone
(715) 343-5256
NPI assigned
Feb 16, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Cindy Chelcun, MS, LPC
Title
Director
Phone
(715) 343-5256

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 2230 WI Primary

Addresses

Primary practice location

1052 Main St
Suite 202
Stevens Point, WI 54481-2848

Mailing address

1052 Main St
Suite 202
Stevens Point, WI 54481-2848
Phone (715) 343-5256

Other identifiers 1

IdentifierTypeStateIssuer
42218000MedicaidWI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396889267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1052 MAIN ST",
            "address_2": "SUITE 202",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544812848",
            "telephone_number": "715-343-5256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1052 MAIN ST",
            "address_2": "SUITE 202",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544812848",
            "telephone_number": "715-343-5256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERWOOD COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHELCUN",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "715-343-5256",
        "authorized_official_credential": "MS, LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "2230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42218000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stevens Point, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.