Riverbirch Therapy, LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

6129-125 Issued in WI

Legal business name

RIVERBIRCH THERAPY, LLC

Practice address

2961 Yarmouth Greenway Dr Ste B
Fitchburg, WI 53711-5809

Phone

(608) 512-0461

Fax

(608) 298-3288

NPI assigned

May 8, 2018

Organization subpart

No

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

Authorized official

Name

Caitlin Mosman Block, MS, LPCNPI 1962765867

Title

Licensed Professional Counselor

Phone

(608) 512-0461

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Riverbirch Therapy Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Caitlin G. Mosman Block

  • Professional Counselor
  • Fitchburg, WI
  • NPI 1962765867
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1525737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525737600000",
    "number": "1952890618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3606 RICHARD ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537142325",
            "telephone_number": "763-639-9769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2961 YARMOUTH GREENWAY DR STE B",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537115809",
            "telephone_number": "608-512-0461",
            "fax_number": "608-298-3288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERBIRCH THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-08",
        "last_updated": "2018-05-08",
        "status": "A",
        "authorized_official_last_name": "MOSMAN BLOCK",
        "authorized_official_first_name": "CAITLIN",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "608-512-0461",
        "authorized_official_credential": "MS, LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "WI",
            "license": "6129-125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "196276587",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Riverbirch Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patricia J Richardson, D.D.S.
• Molly Richter, PA-C
• Rebekah Rickels, MA CF SLP
• Patrick Stephen Riley, CSAC
• Rhonda L. Ritchie, RN, BS, SC
• Kathleen Ann Roberg, RN
• Jessica Elizabeth Robertson
• Megan A Rocke, PA-C
• Jason Maichle Roddick, MA
• Alyson Rogers

• Counselor in Fitchburg, WI
• Providers in Fitchburg, WI by specialty
• Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2018; 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.