Active NPI
Riverbend Therapeutics PLLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Great Falls, MT
National Provider Identifier
1902560923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- RIVERBEND THERAPEUTICS PLLC
- Practice address
- 117 Park Dr S Ste a
Great Falls, MT 59401-3612 - Phone
- (406) 781-4973
- Fax
- (406) 403-0222
- NPI assigned
- Oct 26, 2021
- Last updated
- Feb 9, 2022
- 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
- Stacy Peterson, LCPC
- Title
- Owner
- Phone
- (406) 781-4973
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary | ||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X |
Addresses
Primary practice location
117 Park Dr S Ste a
Great Falls, MT 59401-3612
Mailing address
PO Box 2851
Great Falls, MT 59403-2851
Phone (406) 781-4973
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| KOVPYU3GG | Medicaid | MT |
National Provider Directory
National Provider DirectoryLocations
117 Park Dr S
#A
Great Falls, MT 59401
Phone (406) 781-4973
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Professional Counselor
- Great Falls, MT
- NPI 1992259519
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635206400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1644364800000",
"number": "1902560923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2851",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "594032851",
"telephone_number": "406-781-4973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 PARK DR S STE A",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "594013612",
"telephone_number": "406-781-4973",
"fax_number": "406-403-0222"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVERBEND THERAPEUTICS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-26",
"last_updated": "2022-02-09",
"certification_date": "2022-02-09",
"status": "A",
"authorized_official_last_name": "PETERSON",
"authorized_official_first_name": "STACY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "406-781-4973",
"authorized_official_credential": "LCPC"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "KOVPYU3GG",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Great Falls, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.