The River of Life Counseling, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

THE RIVER OF LIFE COUNSELING, LLC

Practice address

1744 S Val Vista Dr Ste 5-214
Mesa, AZ 85204-7362

Phone

(480) 808-8394

NPI assigned

Nov 20, 2023

Last updated

Mar 23, 2024By 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

Karena Marie Campbell, LCSWNPI 1346901048

Title

Psychotherapist

Phone

(602) 318-9105

Specialties & licenses 1

Addresses

Locations

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.

• Karena Marie Campbell

  • Clinical Social Worker
  • Mesa, AZ
  • NPI 1346901048
  NPD Authorized official

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

{
    "created_epoch": "1700438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711152000000",
    "number": "1568237600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1744 S VAL VISTA DR STE 5-214",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852047362",
            "telephone_number": "480-808-8394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1744 S VAL VISTA DR STE 5-214",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852047362",
            "telephone_number": "480-808-8394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE RIVER OF LIFE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-20",
        "last_updated": "2024-03-23",
        "certification_date": "2024-03-23",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "KARENA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "602-318-9105",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2024; 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.