Riverwalk Ranch, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

RIVERWALK RANCH, LLC

Practice address

6960 Dick Price Road
Mansfield, TX 76063

Phone

(817) 720-9520

NPI assigned

May 22, 2018

Last updated

Oct 11, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jonathan R Janeiro

Title

President

Phone

(817) 720-9525

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Melanie Denise Cole, LCDC

  • Addiction (Substance Use Disorder) Counselor
  • Mansfield, TX
  • NPI 1689294985
  NPD (past)
• Jessica Hutchinson

  • Mental Health Counselor
  • Dallas, TX
  • NPI 1316569775
  NPD (past)
• Karen Yowman Kaniki

  • Case Manager/Care Coordinator
  • Hurst, TX
  • NPI 1760002042
  NPD (past)
• Jennifer Larson

  • Professional Counselor
  • Dallas, TX
  • NPI 1245992841
  NPD (past)
• Benito Lugo, LCDC

  • Addiction (Substance Use Disorder) Counselor
  • Mansfield, TX
  • NPI 1114547411
  NPD (past)
• Jessica Priscilla Morgan, BSW

  • Case Manager/Care Coordinator
  • Mansfield, TX
  • NPI 1891315156
  NPD (past)

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539216000000",
    "number": "1740771195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6960 DICK PRICE ROAD",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "76063",
            "telephone_number": "850-491-4993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6960 DICK PRICE ROAD",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "76063",
            "telephone_number": "817-720-9520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERWALK RANCH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-22",
        "last_updated": "2018-10-11",
        "status": "A",
        "authorized_official_last_name": "JANEIRO",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-720-9525"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rise Community Hospital DFW LLC
• Maria Kassandra Rivas, LCSW
• Lisa Marie Rivera, RPH, CDE
• Mikaela Rivera
• Kathryne Lauralee Rivero, RN, ARPN, CPNP-PC
• Anntez Roberson, NP
• Susan G Roberson, PT
• April Roberts
• Dionne Robinson-Carnegie, LMSW
• Michael Jason Robinson, PT,DPT,CSCS

• Substance Abuse Rehabilitation Facility in Mansfield, TX
• Providers in Mansfield, TX by specialty
• Substance Abuse Rehabilitation Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.