Organization Active NPI

Riverstone Therapy LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Medford, OR
National Provider Identifier
1700633237
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
RIVERSTONE THERAPY LLC
Practice address
937 Whitman Ave
Medford, OR 97501-3704
Phone
(530) 400-9736
NPI assigned
May 2, 2024
Organization subpart
Yes
Parent organization
RIVERSTONE THERAPY LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Authorized official

Name
Morgan N Dixon, LPC, CADC II
Title
Primary Provider
Phone
(530) 400-9736

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

937 Whitman Ave
Medford, OR 97501-3704

Mailing address

937 Whitman Ave
Medford, OR 97501-3704
Phone (530) 400-9736

Other practice location 1

2441 Highgate St Apt 5
Medford, OR 97501-7979
Phone (530) 400-9736

National Provider Directory

National Provider Directory
Part of
Riverstone Therapy LLC

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": "1714608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1700633237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "937 WHITMAN AVE",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975013704",
            "telephone_number": "530-400-9736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "937 WHITMAN AVE",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975013704",
            "telephone_number": "530-400-9736"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2441 Highgate St Apt 5",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "OR",
            "postal_code": "975017979",
            "country_code": "US",
            "telephone_number": "530-400-9736",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RIVERSTONE THERAPY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RIVERSTONE THERAPY LLC",
        "enumeration_date": "2024-05-02",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "MORGAN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRIMARY PROVIDER",
        "authorized_official_telephone_number": "530-400-9736",
        "authorized_official_credential": "LPC, CADC II"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; 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.