River'S Edge Counseling

Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Abercrombie, ND

NPI 1700628484 · NPPES record last updated Jun 12, 2024

Key facts

NPI: 1700628484
Entity type: Organization (NPI type 2)
Primary specialty: Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Legal business name: RIVER'S EDGE COUNSELING
Practice address: 510 Abercrombie St.
Abercrombie, ND 58001
Phone: (701) 730-4395
NPI assigned: Jun 12, 2024
Organization subpart: No

Authorized official

Name: Miss Nicky Kay Besette NPI 1851031397
Title: Mental Health Therapist/Owner
Phone: (701) 730-4395

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

Practitioners 1

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

Nicky Besette, LCSW, LICSW Clinical Social Worker · Wahpeton, ND · NPI 1851031397

Medicare reassignment NPD Authorized official ND · SINGLE SPECIALTY

Medicare participation

Medicare fee-for-service enrollment: Enrolled in ND

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20260112003498	ND	Part B Supplier - Clinic/Group Practice	7911483656	Receives reassigned benefits from 1 practitioner Practice locations: Wahpeton, ND

National Provider Directory

Locations

500 Dakota Ave
Ste 106
Wahpeton, ND 58075
Phone (701) 642-1487

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Mental Health Clinic/Center (Including Community Mental Health Center)	261QM0801X			Yes

Addresses

Primary practice location

510 Abercrombie St.
Abercrombie, ND 58001

Mailing address

PO Box 33
Abercrombie, ND 58001-0033
Phone (701) 730-4395

Other providers in Abercrombie, ND

All providers in Abercrombie, ND · Mental Health Clinic/Center (Including Community Mental Health Center) in North Dakota

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider 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.