River's Edge Counseling

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

RIVER'S EDGE COUNSELING

Practice address

318 Oahe St
Pollock, SD 57648-2403

Phone

(605) 848-4957

Fax

(833) 266-6765

NPI assigned

Jul 21, 2020

Last updated

Jul 21, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Stephanie Marie Lund, MS, NCC, LPC-MHNPI 1265656029

Title

Owner/ Counselor

Phone

(605) 848-6765

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SD

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephanie Marie Lund, LPC-MH

  • Mental Health Counselor
  • Pollock, SD
  • NPI 1265656029
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595289600000",
    "number": "1548878085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 672",
            "city": "POLLOCK",
            "state": "SD",
            "postal_code": "576480672",
            "telephone_number": "605-661-7677",
            "fax_number": "833-266-6765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 OAHE ST",
            "city": "POLLOCK",
            "state": "SD",
            "postal_code": "576482403",
            "telephone_number": "605-848-4957",
            "fax_number": "833-266-6765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER'S EDGE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-21",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A",
        "authorized_official_last_name": "LUND",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/ COUNSELOR",
        "authorized_official_telephone_number": "605-848-6765",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, NCC, LPC-MH"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas L. Baumgartner Sr., OTR/L
• Stephanie Marie Lund, LPC-MH
• Pollock School

• Community/Behavioral Health Agency in Pollock, SD
• Providers in Pollock, SD by specialty
• Community/Behavioral Health Agency in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.