Active NPI
Riverview Therapy, LLC
- Clinical Social Worker
- La Crosse, WI
National Provider Identifier
1811015829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6890123
- Legal business name
- RIVERVIEW THERAPY, LLC
- Practice address
- 2920 East Ave S Ste 101
La Crosse, WI 54601-8282 - Phone
- (608) 397-8727
- NPI assigned
- Mar 27, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Jennifer Lynn Burelbach
- Title
- Managing Member/Sole Proprietor
- Phone
- (608) 397-8727
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6890123 | WI | Primary |
Addresses
Primary practice location
2920 East Ave S Ste 101
La Crosse, WI 54601-8282
Mailing address
2920 East Ave S Ste 101
La Crosse, WI 54601-8282
Phone (608) 397-8727
Other practice location 1
505 King St Ste 25
LA Crosse, WI 54601-4062
Phone (608) 796-1880
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 376343 | Other | WI | MANAGED HEALTH NETWORK |
| 40939800 | Medicaid | WI |
National Provider Directory
National Provider DirectoryLocations
505 King St
Ste 217
La Crosse, WI 54601
Phone (608) 796-1880
505 King St
Ste 25
La Crosse, WI 54601
Phone (608) 796-1880
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- La Crosse, WI
- NPI 1881690386
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174953600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1521244800000",
"number": "1811015829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2920 EAST AVE S STE 101",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "546018282",
"telephone_number": "608-397-8727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2920 EAST AVE S STE 101",
"city": "LA CROSSE",
"state": "WI",
"postal_code": "546018282",
"telephone_number": "608-397-8727"
}
],
"practiceLocations": [
{
"address_1": "505 King St Ste 25",
"address_purpose": "LOCATION",
"city": "LA Crosse",
"state": "WI",
"postal_code": "546014062",
"country_code": "US",
"telephone_number": "608-796-1880",
"fax_number": "608-796-2155",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "RIVERVIEW THERAPY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-27",
"last_updated": "2018-03-17",
"status": "A",
"authorized_official_last_name": "BURELBACH",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "MANAGING MEMBER/SOLE PROPRIETOR",
"authorized_official_telephone_number": "608-397-8727",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "WI",
"license": "6890123",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MANAGED HEALTH NETWORK",
"identifier": "376343",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "40939800",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in La Crosse, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.