Kyra S Rivenloch, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

3057 Hill Ave
Grand Junction, CO 81504-2607

Phone

(970) 208-2682

NPI assigned

Nov 10, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Kyra M Logsdon Former name

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Creative Directions Counseling & Consulting, LLC

  • Mental Health Counselor
  • Grand Junction, CO
  • NPI 1316573991
  Medicare reassignment NPD
• Amos Counseling LLC

  • Mental Health Counselor
  • Grand Junction, CO
  • NPI 1740631779
  NPD (past)

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

{
    "created_epoch": "1447113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744329600000",
    "number": "1588037774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40305",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815040305",
            "telephone_number": "970-208-2682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3057 HILL AVE",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815042607",
            "telephone_number": "970-208-2682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVENLOCH",
        "first_name": "KYRA",
        "middle_name": "S",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-10",
        "last_updated": "2025-04-11",
        "certification_date": "2025-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "0105944",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KYRA",
            "last_name": "LOGSDON",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Laurel Ripple, CD(DONA), PES
• Charles A Rissell, M.A.,ED.S.,LPC
• Claire E Ritchie
• Breann Ritter
• Naomi A Ritthaler
• River Valley Chiropractic, LLC
• River Valley Dental Clinic, PC
• Rivers Edge Pain Specialists PLLC
• Rivers Edge Sexual Recovery Center
• Saba A Rizvi, MD

• Clinical Social Worker in Grand Junction, CO
• Providers in Grand Junction, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.