Organization Active NPI

Quiet River Counseling, LLC

  • Counselor
  • Canton, OH
National Provider Identifier
1699349837
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
QUIET RIVER COUNSELING, LLC
Practice address
2401 Whipple Ave NW
Canton, OH 44708-1513
Phone
(330) 807-8954
NPI assigned
May 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Authorized official

Name
Lindsay Mae Millard, LISWNPI 1194230698
Title
Clinical Social Worker/Owner
Phone
(330) 353-8640

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

2401 Whipple Ave NW
Canton, OH 44708-1513

Mailing address

2594 Swartz Rd NE
Hartville, OH 44632-9210
Phone (330) 807-8954

Other practice location 1

311 S Prospect Ave Ste 201
Hartville, OH 44632-9464
Phone (330) 353-8640

Other names 1

  • Lindsay Millard Other name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address lindsay@quietrivercounseling.com Direct
Direct Messaging Address lindsay@quietrivercounseling.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210622002429 OH Part B Supplier - Clinic/Group Practice 4284035734 Receives reassigned benefits from 1 practitioner
Practice locations: Hartville, OH

National Provider Directory

National Provider Directory

Locations

311 S Prospect Ave
Ste 201
Hartville, OH 44632
Phone (330) 353-8640

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1620864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719360000000",
    "number": "1699349837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2594 SWARTZ RD NE",
            "city": "HARTVILLE",
            "state": "OH",
            "postal_code": "446329210",
            "telephone_number": "330-807-8954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 WHIPPLE AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447081513",
            "telephone_number": "330-807-8954"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "311 S Prospect Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Hartville",
            "state": "OH",
            "postal_code": "446329464",
            "country_code": "US",
            "telephone_number": "330-353-8640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "QUIET RIVER COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-13",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A",
        "authorized_official_last_name": "MILLARD",
        "authorized_official_first_name": "LINDSAY",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER/OWNER",
        "authorized_official_telephone_number": "330-353-8640",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lindsay@quietrivercounseling.com",
            "affiliation": "N",
            "endpointDescription": "secure gmail account",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2401 Whipple Ave NW",
            "city": "Canton",
            "state": "OH",
            "country_code": "US",
            "postal_code": "447081513",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lindsay@quietrivercounseling.com",
            "affiliation": "N",
            "endpointDescription": "secure gmail account",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "311 S Prospect Ave Ste 201",
            "city": "Hartville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "446329464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Lindsay Millard",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Lindsay Millard",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; 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.