River Wards Wellness Collective

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

RIVER WARDS WELLNESS COLLECTIVE

Practice address

2566 Frankford Ave
Philadelphia, PA 19125-1743

Phone

(267) 261-8061

NPI assigned

Nov 9, 2018

Organization subpart

No

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

Authorized official

Name

Sarah Disanto

Title

Owner

Phone

(267) 261-8061

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1541721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541721600000",
    "number": "1538637327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 W THOMPSON ST APT 8",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191224635",
            "telephone_number": "267-261-8061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2566 FRANKFORD AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191251743",
            "telephone_number": "267-261-8061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER WARDS WELLNESS COLLECTIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-09",
        "last_updated": "2018-11-09",
        "status": "A",
        "authorized_official_last_name": "DISANTO",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-261-8061"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fernando Rivas, MA
• Linda Blake Rivas
• Michael C Rivello, LCSW
• Joshua Rivenbark
• Ariana Rivens, PHD
• Alicia M Rivera Jones, LCSW
• Stephanie M Rivera Morales, MD
• Raymond Manuel Rivera Vergara
• Jorge Alberto Rivera-Colon, MD
• Belinda Natalia Rivera-Lebron, MD

• Mental Health Counselor in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Mental Health Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2018; 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.