Active NPI
Riverside Counseling, LLC
- Mental Health Counselor
- North Platte, NE
National Provider Identifier
1912367855
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- RIVERSIDE COUNSELING, LLC
- Practice address
- 108 E 2ND St
North Platte, NE 69101-5430 - Phone
- (308) 534-9271
- Fax
- (308) 534-1447
- NPI assigned
- Mar 4, 2016
- 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
- Samantha Byrns, LIMHP
- Title
- Owner
- Phone
- (308) 534-9271
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
108 E 2ND St
North Platte, NE 69101-5430
Mailing address
108 E 2ND St
North Platte, NE 69101-5430
Phone (308) 534-9271
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10026566901 | Medicaid | NE |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457049600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1585872000000",
"number": "1912367855",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 E 2ND ST",
"city": "NORTH PLATTE",
"state": "NE",
"postal_code": "691015430",
"telephone_number": "308-534-9271",
"fax_number": "308-534-1447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 E 2ND ST",
"city": "NORTH PLATTE",
"state": "NE",
"postal_code": "691015430",
"telephone_number": "308-534-9271",
"fax_number": "308-534-1447"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVERSIDE COUNSELING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-04",
"last_updated": "2020-04-03",
"certification_date": "2020-04-03",
"status": "A",
"authorized_official_last_name": "BYRNS",
"authorized_official_first_name": "SAMANTHA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "308-534-9271",
"authorized_official_credential": "LIMHP"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10026566901",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Platte, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.