Active NPI
Riverstone Therapy LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Medford, OR
National Provider Identifier
1700633237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- 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 LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.
-
- Mental Health Counselor
- Phoenix, OR
- NPI 1528614179
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.