Organization Active NPI

Riverwalk Counseling Center LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Richland, WA
National Provider Identifier
1902514516
Registry record updated Nov 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
RIVERWALK COUNSELING CENTER LLC
Practice address
404 Bradley Blvd Ste 205
Richland, WA 99352-4500
Phone
(443) 869-0357
Fax
(800) 801-0532
NPI assigned
Nov 11, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2022

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

Authorized official

Name
Aphrodite Beidler, PSYD, LMHCNPI 1710177399
Title
Mental Health Counselor
Phone
(443) 869-0357

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

404 Bradley Blvd Ste 205
Richland, WA 99352-4500

Mailing address

404 Bradley Blvd Ste 205
Richland, WA 99352-4500
Phone (443) 869-0357

Other identifiers 1

IdentifierTypeStateIssuer
00011009OtherWAWASHINGTON STATE DEPARTMENT OF HEALTH

Electronic endpoints 4

TypeEndpointUseAffiliation
CONNECT URL https://ww2.identillect.com/sendemail?u=YXV0aDB8NWY5MDQ1NDg1ZDkxMWUwMDc1NDhlMjFh Direct
CONNECT URL https://ww2.identillect.com/sendemail?u=YXV0aDB8NWY5MDQ1NDg1ZDkxMWUwMDc1NDhlMjFh Health Information Exchange (HIE)
CONNECT URL https://ww2.identillect.com/sendemail?u=YXV0aDB8NWY5MDQ1NDg1ZDkxMWUwMDc1NDhlMjFh Health Information Exchange (HIE)
CONNECT URL https://ww2.identillect.com/sendemail?u=YXV0aDB8NWY5MDQ1NDg1ZDkxMWUwMDc1NDhlMjFh Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

404 Bradley Blvd
Ste 205
Richland, WA 99352
Phone (443) 869-0357

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": "1668124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668124800000",
    "number": "1902514516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 BRADLEY BLVD STE 205",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524500",
            "telephone_number": "443-869-0357",
            "fax_number": "800-801-0532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 BRADLEY BLVD STE 205",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524500",
            "telephone_number": "443-869-0357",
            "fax_number": "800-801-0532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERWALK COUNSELING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-11",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A",
        "authorized_official_last_name": "BEIDLER",
        "authorized_official_first_name": "APHRODITE",
        "authorized_official_title_or_position": "MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "443-869-0357",
        "authorized_official_credential": "PSYD, LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON STATE DEPARTMENT OF HEALTH",
            "identifier": "00011009",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://ww2.identillect.com/sendemail?u=YXV0aDB8NWY5MDQ1NDg1ZDkxMWUwMDc1NDhlMjFh",
            "affiliation": "N",
            "endpointDescription": "Secure Portal",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Text",
            "address_1": "404 Bradley Blvd Ste 205",
            "city": "Richland",
            "state": "WA",
            "country_code": "US",
            "postal_code": "993524500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://ww2.identillect.com/sendemail?u=YXV0aDB8NWY5MDQ1NDg1ZDkxMWUwMDc1NDhlMjFh",
            "affiliation": "N",
            "endpointDescription": "Secure Portal",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "Secure Information",
            "address_1": "404 Bradley Blvd Ste 205",
            "city": "Richland",
            "state": "WA",
            "country_code": "US",
            "postal_code": "993524500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://ww2.identillect.com/sendemail?u=YXV0aDB8NWY5MDQ1NDg1ZDkxMWUwMDc1NDhlMjFh",
            "affiliation": "N",
            "endpointDescription": "Secure Portal",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "Secure Information",
            "address_1": "404 Bradley Blvd Ste 205",
            "city": "Richland",
            "state": "WA",
            "country_code": "US",
            "postal_code": "993524500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://ww2.identillect.com/sendemail?u=YXV0aDB8NWY5MDQ1NDg1ZDkxMWUwMDc1NDhlMjFh",
            "affiliation": "N",
            "endpointDescription": "Secure Portal",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "404 Bradley Blvd Ste 205",
            "city": "Richland",
            "state": "WA",
            "country_code": "US",
            "postal_code": "993524500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Richland, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2022; 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.