Rivers Mental Health, PLLC

Primary specialty

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

Legal business name

RIVERS MENTAL HEALTH, PLLC

Doing business as

Rivers Mental Health

Practice address

4525 White Bear Pkwy Ste 226
White Bear Lake, MN 55110-7660

Phone

(612) 702-5432

Fax

(612) 540-0949

NPI assigned

Mar 27, 2023

Organization subpart

No

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

Authorized official

Name

Charles Roth MillerNPI 1659724086

Title

Owner and Therapist

Phone

(612) 702-5432

Specialties & licenses 3

Addresses

Other names 2

• Rivers Mental Health Doing business as
• Miller Psychotherapy, PLLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Locations

Practitioners 2

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

• Charles Roth Miller, MA, LPCC

  • Professional Counselor
  • Stillwater, MN
  • NPI 1659724086
  Medicare reassignment NPD Authorized official
• Nathaniel Jordon

  • Mental Health Counselor
  • White Bear Lake, MN
  • NPI 1639096696
  NPD (past)

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

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761523200000",
    "number": "1689378655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4525 WHITE BEAR PKWY STE 226",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551107660",
            "telephone_number": "612-702-5432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4525 WHITE BEAR PKWY STE 226",
            "city": "WHITE BEAR LAKE",
            "state": "MN",
            "postal_code": "551107660",
            "telephone_number": "612-702-5432",
            "fax_number": "612-540-0949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERS MENTAL HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-27",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "ROTH",
        "authorized_official_title_or_position": "OWNER AND THERAPIST",
        "authorized_official_telephone_number": "612-702-5432"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rivers Mental Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Miller Psychotherapy, PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in White Bear Lake, MN
• Providers in White Bear Lake, MN by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; 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.