NPIMap

Organization Active NPI

Riverfront Therapy LLC

  • Professional Counselor
  • Washington, MO
National Provider Identifier
1447643820
Registry record updated Mar 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2010013715 Issued in MO
Legal business name
RIVERFRONT THERAPY LLC
Practice address
120 W Front St
Suite B
Washington, MO 63090-2151
Phone
(636) 667-9292
NPI assigned
Mar 10, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2015

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

Authorized official

Name
Jodi FortnerNPI 1710205190
Title
Owner
Phone
(636) 667-9292

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 2010013715 MO Primary

Addresses

Primary practice location

120 W Front St
Suite B
Washington, MO 63090-2151

Mailing address

1323 Jasper LN
Washington, MO 63090-4148
Phone (636) 667-9292

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1425945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425945600000",
    "number": "1447643820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1323 JASPER LN",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630904148",
            "telephone_number": "636-667-9292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W FRONT ST",
            "address_2": "SUITE B",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630902151",
            "telephone_number": "636-667-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERFRONT THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-10",
        "last_updated": "2015-03-10",
        "status": "A",
        "authorized_official_last_name": "FORTNER",
        "authorized_official_first_name": "JODI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "636-667-9292"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2010013715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2015; 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.