Organization Active NPI

Riverside Counseling, LLC

  • Clinical Social Worker
  • Groton, CT
National Provider Identifier
1841428711
Registry record updated Dec 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
006225 Issued in CT
Legal business name
RIVERSIDE COUNSELING, LLC
Practice address
1 Fort Hill Rd
Suite 3
Groton, CT 06340-4799
Phone
(860) 440-6201
Fax
(860) 440-6778
NPI assigned
Jun 30, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2011

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

Authorized official

Name
Mrs. Crystal M Howard-Arlia, LCSWNPI 1578571584
Title
Owner
Phone
(860) 440-6201

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 006225 CT Primary

Addresses

Primary practice location

1 Fort Hill Rd
Suite 3
Groton, CT 06340-4799

Mailing address

1 Fort Hill Rd
Suite 3
Groton, CT 06340-4799
Phone (860) 440-6201

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151112001595 CT Part B Supplier - Clinic/Group Practice 0244540797 Receives reassigned benefits from 1 practitioner
Practice locations: Norwich, CT

National Provider Directory

National Provider Directory

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": "1246320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323129600000",
    "number": "1841428711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FORT HILL RD",
            "address_2": "SUITE 3",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063404799",
            "telephone_number": "860-440-6201",
            "fax_number": "860-440-6778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 FORT HILL RD",
            "address_2": "SUITE 3",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063404799",
            "telephone_number": "860-440-6201",
            "fax_number": "860-440-6778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-30",
        "last_updated": "2011-12-06",
        "status": "A",
        "authorized_official_last_name": "HOWARD-ARLIA",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-440-6201",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "006225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Groton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; 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.