Organization Active NPI

River City Music Therapy, LLC

  • Music Therapist
  • Peoria, IL
National Provider Identifier
1699372631
Registry record updated Oct 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Music TherapistTaxonomy code 225A00000X
Legal business name
RIVER CITY MUSIC THERAPY, LLC
Practice address
1504 W Moss Ave
Peoria, IL 61606-1638
Phone
(309) 826-2679
NPI assigned
Oct 2, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2020

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

Authorized official

Name
Mrs. Katie Noel Fitch, MME, MT-BCNPI 1740662584
Title
Founder
Phone
(309) 826-2679

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
Music TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225A00000X Primary

Addresses

Primary practice location

1504 W Moss Ave
Peoria, IL 61606-1638

Mailing address

1807 W Moss Ave
Peoria, IL 61606-1646
Phone (309) 826-2679

National Provider Directory

National Provider Directory

Locations

1504 W Moss Ave
Peoria, IL 61606
Phone (309) 826-2679

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": "1601596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601596800000",
    "number": "1699372631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1807 W MOSS AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616061646",
            "telephone_number": "309-826-2679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 W MOSS AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616061638",
            "telephone_number": "309-826-2679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER CITY MUSIC THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-02",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A",
        "authorized_official_last_name": "FITCH",
        "authorized_official_first_name": "KATIE",
        "authorized_official_middle_name": "NOEL",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "309-826-2679",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MME, MT-BC"
    },
    "taxonomies": [
        {
            "code": "225A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Music Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2020; 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.