River City Professional Counseling

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

RIVER CITY PROFESSIONAL COUNSELING

Practice address

1210 Stubbs Ave
Monroe, LA 71201-5622

Phone

(318) 325-8782

NPI assigned

Dec 4, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Deborah Lynn Doublin, LCSWNPI 1104846716

Title

Administrator

Phone

(318) 325-8748

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Tax ID family

River City Professional Counseling2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• River City Professional Counseling, LLC

  • Marriage & Family Therapist
  • Monroe, LA
  • NPI 1821131913
  NPD tax ID

Locations

Practitioners 4

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

• Deborah Lynn Doublin, LCSW, LMFT

  • Clinical Social Worker
  • Monroe, LA
  • NPI 1104846716
  Medicare reassignment NPD Authorized official
• Tamara Elaine Jones-Thompson, LCSW

  • Clinical Social Worker
  • Monroe, LA
  • NPI 1487024063
  Medicare reassignment NPD
• Carolyn Ann Bruce, LPC

  • Professional Counselor
  • Monroe, LA
  • NPI 1114218617
  NPD (past)
• Anthea L Joseph, LPC

  • Professional Counselor
  • Monroe, LA
  • NPI 1407147002
  NPD (past)

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686787200000",
    "number": "1710169503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 STUBBS AVE",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015622",
            "telephone_number": "318-325-8782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 STUBBS AVE",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015622",
            "telephone_number": "318-325-8782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER CITY PROFESSIONAL COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-04",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A",
        "authorized_official_last_name": "DOUBLIN",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "318-325-8748",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEHAVIORAL HEALTH LICENSE",
            "identifier": "2203782133",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "5DQ56",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUBSTANCE ABUSE FACILITY LICENSE",
            "identifier": "2203782133",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Righteous Wellness LLC
• Fnu Rimsha
• Rebecca Nichole Rinehart
• Julia Nicole Riser
• James Thomas Rittelmeyer, MD
• River City Professional Counseling, LLC
• Riverside Nursing Home LLC
• Riverside Nursing Home, LLC
• Riversouth Rehabilitation Center,Inc
• Riversouth Rehabilitation Center,Inc.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Monroe, LA
• Providers in Monroe, LA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare 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.