RIVERSIDE COUNSELING, LLC (NPI# 1972090967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972090967 |
| Entity Type | Organization |
| Organization Name | RIVERSIDE COUNSELING, LLC |
| Practice Address |
436 Pennsylvania Ave W Warren PA 16365-2238 |
| Mailing Address |
203 Pleasant St Sugar Grove PA 16350-1637 |
| Practice Telephone | 8142303042 |
| Mailing Telephone | 7163978558 |
| Enumeration Date | 2018-04-16 |
| Last Update Date | 2018-04-16 |
| Authorized Official Name | JOEL PATRICK DAVISON (OWNER) |
| Authorized Official Telephone | 7163978558 |
| Authorized Official Credential | L.C.S.W. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | CW018306 | PA | Agencies |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 589 Hospital Dr Ste E, Warren, PA 163654875 | 8147231330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912367855 | Riverside Counseling, LLC | Counselor | 108 E 2nd St, North Platte, NE 69101-5430 | 2016-03-04 |
| 1841428711 | Riverside Counseling, LLC | Social Worker | 1 Fort Hill Rd, Suite 3, Groton, CT 06340-4799 | 2009-06-30 |
| Street Address |
436 PENNSYLVANIA AVE W |
| City | WARREN |
| State | PA |
| Zip Code | 16365-2238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932712759 | James Hickey | Dentist | 94 Egypt Hollow Rd, Warren, PA 16365 | 2020-08-31 |
| 1437674579 | Theresa Elizabeth Cook | Speech-Language Pathologist | Rehabworks At Warren General Hospital, Two Crescent Park West, Warren, PA 16365 | 2017-08-10 |
| 1891160982 | Vanessa Frank Humphrey | Occupational Therapy Assistant | 682 Pleasant Drive, Warren, PA 16365 | 2015-12-01 |
| 1740651967 | John L. Harrington | Psychiatry & Neurology | 4 Second Ave. Apt. #2, Warren, PA 16365 | 2015-10-14 |
| 1992046569 | Carrie Lynn Vaughn | Physical Therapy Assistant | 1048 Pennslvania Ave West, Warren, PA 16365 | 2013-03-07 |
| 1750664488 | William Frederick Menz | Pharmacist | 2901 Market Street, (walmart), Warren, PA 16365 | 2011-09-20 |
| 1669617296 | Donald Nicholas Vandamia | Family Medicine | 64 Leda Lane, Warren, PA 16365 | 2008-12-11 |
| 1013187558 | Chad Michael Ristau | Nurse Anesthetist, Certified Registered | 2 Crescent Park West., Warren General Hospital, Warren, PA 16365 | 2008-03-11 |
| 1407072473 | Family Physical Therapy | Physical Therapist | 218 Liberty St, Warren, PA 16365 | 2007-04-18 |
| 1801927330 | Wal-mart Stores East, L.p. | Technician/Technologist | 2901 Market St., Warren, PA 16365 | 2007-03-08 |
| Find all providers in zip 16365 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093331092 | Kaitlyn Lee Goodhart | Community/Behavioral Health | 2160 Howland Wilson Rd Ne, Warren, OH 44484-3921 | 2020-06-25 |
| 1588299283 | Walter Davis | Community/Behavioral Health | 1380 Arbor Ave Se Apt 508, Warren, OH 44484-4448 | 2020-03-03 |
| 1891331930 | Michael Jacob Limbeck | Community/Behavioral Health | 2088 Saratoga Ave Sw, Warren, OH 44485-3960 | 2019-11-25 |
| 1497317424 | Susan Elizabeth Kilpatrick | Community/Behavioral Health | 1901 Southwest Blvd Sw, Warren, OH 44485-3973 | 2019-06-29 |
| 1871005306 | Crn Healthcare Inc | Community/Behavioral Health | 4087 Youngstown Rd Se, Warren, OH 44484-3368 | 2017-10-24 |
| 1568998425 | The Salvation Army Habor Light Onward | Community/Behavioral Health | 24140 Mound Rd, Warren, MI 48091-5322 | 2017-05-11 |
| 1689002719 | Macomb-oakland Home Care, Inc. | Community/Behavioral Health | 1999 Common Rd, Warren, MI 48092-2164 | 2013-10-29 |
| 1932391042 | Childrens Home of Detroit | Community/Behavioral Health | 6902 Chicago Rd, Warren, MI 48092-1686 | 2007-08-13 |
| 1043331994 | Children's Center for Treatment and Education | Community/Behavioral Health | 1885 Market St, Warren, PA 16365-1277 | 2007-04-02 |
| 1932759701 | April Marie Brenkert | Community/Behavioral Health | 103 W Market St, Warren, OH 44481-1017 | 2019-09-13 |
| Find all providers in WARREN | ||||
Please comment or provide details below to improve the information on RIVERSIDE COUNSELING, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.