Organization Active NPI

Riverview Therapy, LLC

  • Clinical Social Worker
  • La Crosse, WI
National Provider Identifier
1811015829
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6890123 Issued in WI
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

Updated by the provider on Mar 17, 2018

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
376343OtherWIMANAGED HEALTH NETWORK
40939800MedicaidWI

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.