RIVERSIDE COUNSELING, PLLC (NPI# 1326599341) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326599341 |
| Entity Type | Organization |
| Organization Name | RIVERSIDE COUNSELING, PLLC |
| Practice Address |
404 Chatham Square Office Park Fredericksburg VA 22405-2544 |
| Practice Telephone | 5403731200 |
| Practice Fax Number | 5403731280 |
| Mailing Telephone | 5403731200 |
| Mailing Fax Number | 5403731280 |
| Enumeration Date | 2016-10-14 |
| Last Update Date | 2016-10-14 |
| Authorized Official Name | DR. DELISE DICKARD (DIRECTOR) |
| Authorized Official Telephone | 5403731200 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
0701006762 | VA | Ambulatory Health Care Facilities |
| Street Address |
404 CHATHAM SQUARE OFFICE PARK |
| City | FREDERICKSBURG |
| State | VA |
| Zip Code | 22405-2544 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245420819 | Cynthia Gustafson Repanshek | Psychologist | 404 Chatham Square Office Park, Fredericksburg, VA 22405-2544 | 2007-07-30 |
| 1376159749 | Kim Ann Rudat | Counselor | 404 Chatham Square Office Park, Fredericksburg, VA 22405-2544 | 2020-09-21 |
| 1871061754 | Antaysia Nance | Social Worker | 404 Chatham Square Office Park, Fredericksburg, VA 22405-2544 | 2018-11-08 |
| 1962978080 | Anna Breaux | Counselor | 404 Chatham Square Office Park, Fredericksburg, VA 22405-2544 | 2018-10-16 |
| 1376028134 | Andrew Roberts | Counselor | 404 Chatham Square Office Park, Fredericksburg, VA 22405-2544 | 2018-09-27 |
| 1669924676 | Riverside Counseling, Pllc. | Counselor | 404 Chatham Square Office Park, Fredericksburg, VA 22405-2544 | 2016-10-26 |
| 1285182170 | Shirley Louisor | Counselor | 404 Chatham Square Office Park, Fredericksburg, VA 22405-2544 | 2016-09-20 |
| 1275815631 | Margo Sills | Counselor | 404 Chatham Square Office Park, Fredericksburg, VA 22405-2544 | 2011-09-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992217442 | Rappahannock Area Young Men's Christian Association | Health Educator | 212 Butler Road, Falmouth, VA 22405 | 2017-10-24 |
| 1518334606 | Darrell Dean Dila | Physical Therapist | 212 Butler Rd, Fredericksburg, VA 22405 | 2015-08-25 |
| 1790108215 | Charise Hansen | Occupational Therapist | 121 Boscobel Rd, Fredericksburg, VA 22405 | 2014-02-04 |
| 1033494984 | Trinity Home Health | Home Health | 111 Braemar Place, Fredericksburg, VA 22405 | 2011-10-11 |
| 1053526350 | Steffani A. Deas | Optometrist | 110 Cambridge Street, Access Eye Centers, Fredericksburg, VA 22405 | 2007-05-11 |
| 1689899726 | Clear Care Dental Pllc. | Preferred Provider Organization | 10 Chatham Heights Rd., Fredericksburg, VA 22405 | 2007-04-16 |
| 1154545028 | Muhammad Jadoon | Family Medicine | 1000 Sam Perry Blvd, Fredericksburg, VA 22405 | 2007-04-12 |
| 1134137086 | Premier Eyecare, Angela Tsai, O.d. and Associates, P.C. | Optometrist | 230 Butler Road, Fredericksburg, VA 22405 | 2006-08-04 |
| 1952383606 | Kash Eagleton | Physical Therapist | 421 Chatham Square Office Park, Fredericksburg, VA 22405 | 2005-11-17 |
| 1538700216 | Hanna Ouellette | Physician Assistant | 406 Chatham Square Office Park, Fredericksburg, VA 22405 | 2019-10-03 |
| Find all providers in zip 22405 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053872234 | Compassionate Counseling, LLC | Clinic/Center | 5601 Cambridge Dr, Fredericksburg, VA 22407-1264 | 2019-03-29 |
| 1508010232 | L R Minor LLC | Clinic/Center | 910 Princess Anne St, Suite 109, Fredericksburg, VA 22401-5844 | 2008-11-07 |
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| 1295356533 | Monarch Journey Counseling LLC | Clinic/Center | 14125 James Madison Hwy, Orange, VA 22960-2819 | 2020-04-28 |
| 1154941789 | Rocktown Counseling LLC | Clinic/Center | 333 Windermere Dr, Broadway, VA 22815-9489 | 2020-04-23 |
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| City | FREDERICKSBURG |
| Zip Code | 22405 |
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| 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.