Organization Active NPI

Riverbridge Counseling, Inc.

  • Marriage & Family Therapist
  • Minnetonka, MN
National Provider Identifier
1700230463
Registry record updated Apr 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2481 Issued in MN
Legal business name
RIVERBRIDGE COUNSELING, INC.
Practice address
14451 Highway 7
Suite 2a
Minnetonka, MN 55345-3740
Phone
(320) 493-2893
NPI assigned
Apr 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2016

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

Authorized official

Name
George Brisse, L.M.F.T.
Title
Ceo
Phone
(320) 493-2893

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 2481 MN Primary

Addresses

Primary practice location

14451 Highway 7
Suite 2a
Minnetonka, MN 55345-3740

Mailing address

14451 Highway 7
Suite 2a
Minnetonka, MN 55345-3740
Phone (320) 493-2893

Other identifiers 1

IdentifierTypeStateIssuer
1629339544MedicaidMN

National Provider Directory

National Provider Directory

Locations

14451 Highway 7
Ste 2A
Minnetonka, MN 55345
Phone (612) 386-4864

NPI Registry JSON

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

{
    "created_epoch": "1461024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461024000000",
    "number": "1700230463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14451 HIGHWAY 7",
            "address_2": "SUITE 2A",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553453740",
            "telephone_number": "320-493-2893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14451 HIGHWAY 7",
            "address_2": "SUITE 2A",
            "city": "MINNETONKA",
            "state": "MN",
            "postal_code": "553453740",
            "telephone_number": "320-493-2893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERBRIDGE COUNSELING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-19",
        "last_updated": "2016-04-19",
        "status": "A",
        "authorized_official_last_name": "BRISSE",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "320-493-2893",
        "authorized_official_credential": "L.M.F.T."
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2481",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1629339544",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Minnetonka, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2016; 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.