Organization Active NPI

River Valley Counseling, LLC

  • Community/Behavioral Health Agency
  • Moorhead, MN
National Provider Identifier
1891242558
Registry record updated Dec 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
2289 Issued in MN
Legal business name
RIVER VALLEY COUNSELING, LLC
Practice address
819 30TH Ave S
Suite 206F
Moorhead, MN 56560-5000
Phone
(218) 284-9672
NPI assigned
Sep 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2016

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

Authorized official

Name
Mrs. Robin D Berg, MS, LMFTNPI 1366746737
Title
Therapist/Owner
Phone
(218) 284-9672

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
Community/Behavioral Health Agency 251S00000X 2289 MN Primary

Addresses

Primary practice location

819 30TH Ave S
Suite 206F
Moorhead, MN 56560-5000

Mailing address

819 30TH Ave S
Suite 206F
Moorhead, MN 56560-5000
Phone (218) 284-9672

Other identifiers 1

IdentifierTypeStateIssuer
1366746737MedicaidMN

National Provider Directory

National Provider Directory

Locations

819 30th Ave S
Ste 206F
Moorhead, MN 56560
Phone (218) 284-9672

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": "1473379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481155200000",
    "number": "1891242558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 30TH AVE S",
            "address_2": "SUITE 206F",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565605000",
            "telephone_number": "218-284-9672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 30TH AVE S",
            "address_2": "SUITE 206F",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565605000",
            "telephone_number": "218-284-9672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVER VALLEY COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-09",
        "last_updated": "2016-12-08",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "218-284-9672",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "2289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1366746737",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorhead, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2016; 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.