RIVER ROCK CHURCH (NPI# 1508201906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508201906 |
| Entity Type | Organization |
| Organization Name | RIVER ROCK CHURCH |
| Other Organization Name | REAL LIFE COUNSELING MINISTRIES |
| Practice Address |
1498 Se Tech Center Pl Suite 385 Vancouver WA 98683-9591 |
| Practice Telephone | 3606192226 |
| Practice Fax Number | 3603269691 |
| Mailing Telephone | 3606192226 |
| Mailing Fax Number | 3603269691 |
| Enumeration Date | 2013-04-30 |
| Last Update Date | 2013-04-30 |
| Authorized Official Name | JOSEPH MELVIN KLEMZ (COUNSELING DIRECTOR) |
| Authorized Official Telephone | 3606192226 |
| Authorized Official Credential | LICSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LW60216256 | WA | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Real Life Counseling Ministries | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | River Rock Church | 4135 Cenntenial Blvd., Colorado Springs, CO 80907 |
| Washington State Corporations | RIVER ROCK CHURCH | 4824 Nw 38th Ave, Camas, WA 98607-5400 |
| Street Address |
1498 SE TECH CENTER PL SUITE 385 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98683-9591 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386626232 | Jessica Ann Dorrington | Physical Therapist | 1498 Se Tech Center Pl, Ste 160, Vancouver, WA 98683-9591 | 2005-11-16 |
| 1942709134 | David Lee Taub | Counselor | 1498 Se Tech Center Pl, Vancouver, WA 98683-9591 | 2018-02-02 |
| 1518418854 | Andrea Hamilton | Dietitian, Registered | 1498 Se Tech Center Pl, Suite 240, Vancouver, WA 98683-9591 | 2016-10-21 |
| 1245685684 | Lisa Hansen | Clinical Nurse Specialist | 1498 Se Tech Center Pl, Suite 240, Vancouver, WA 98683-9591 | 2016-05-03 |
| 1871971234 | Shelby Ross | Physician Assistant | 1498 Se Tech Center Pl, Suite 240, Vancouver, WA 98683-9591 | 2015-05-18 |
| 1053711655 | Emily Watts | Counselor | 1498 Se Tech Center Pl, Suite 383, Vancouver, WA 98683-9591 | 2014-09-02 |
| 1215364237 | Argyro Julie Moustakas | Counselor | 1498 Se Tech Center Pl, Suite 385, Vancouver, WA 98683-9591 | 2013-10-04 |
| 1548506587 | Northwest Cancer Specialists, PC | Clinical Medical Laboratory | 1498 Se Tech Center Pl, Suite 390, Vancouver, WA 98683-9591 | 2012-12-19 |
| 1982976387 | Adams Center for Psychological Wellness, LLC | Psychologist | 1498 Se Tech Center Pl, Suite 385, Vancouver, WA 98683-9591 | 2012-01-31 |
| 1194040139 | Kathleen Alison Dunham | Surgery | 1498 Se Tech Center Pl, Suite 240, Vancouver, WA 98683-9591 | 2010-04-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235761222 | Nathaniel James Eugene Powell | Behavior Technician | 4101se 192nd Ave, Ste 101, Vancouver, WA 98683 | 2020-02-07 |
| 1295294973 | Ubmhc1, LLC | Clinical Medical Laboratory | 18110 Southeast 34th St, Building 2, Suite 240, Vancouver, WA 98683 | 2019-03-13 |
| 1982116695 | Amy K Adams | Massage Therapist | 2716 Se 169th Ave, X-232, Vancouver, WA 98683 | 2017-11-03 |
| 1477088920 | Alexandra Ransonet | Dental Hygienist | 19111 Se 34th. St., Vancouver, WA 98683 | 2017-04-21 |
| 1639618630 | Digestive Gi Care | Internal Medicine | 305 Sw Chkalov Dr, 111-140, Vancouver, WA 98683 | 2017-02-23 |
| 1447706742 | Jennifer Horst | Massage Therapist | 3401 Se 192nd. Ave. Suite 107, Vancouver, WA 98683 | 2016-08-28 |
| 1154702728 | Kacie Marie Hamreus | Physician Assistant | 3101 Se 192nd Avenue, Vancouver, WA 98683 | 2015-06-09 |
| 1851782338 | Kathryn Wiedeman | Physical Therapy Assistant | 801 Se Park Crestt Ave, Vancouver, WA 98683 | 2015-02-05 |
| 1407255326 | Jesse Ryan Moses | Dentist | 16600 Se 15th Street, Suite A, Vancouver, WA 98683 | 2014-08-15 |
| 1366869893 | Stephen J Wold II | Podiatrist | 16701 Ne Mcgillivray Blvd, Ste 220, Vancouver, WA 98683 | 2014-03-21 |
| Find all providers in zip 98683 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366054660 | Jennifer A Wiss | Social Worker | 16517 Ne 79th St, Vancouver, WA 98682-1522 | 2020-08-18 |
| 1982228417 | Cynthia Ann Holt | Social Worker | 4608 Ne 47 Street, Vancouver, WA 98661 | 2020-06-01 |
| 1174147789 | Keina Ritenburgh | Social Worker | 5210 Ne 25th Pl, Vancouver, WA 98663-1970 | 2020-05-31 |
| 1740802925 | Emily N Stoutsenberger | Social Worker | 2115 E 9th St, Vancouver, WA 98661-4311 | 2020-05-11 |
| 1780206037 | Linda Meadows | Social Worker | 1222 Ne Cedar Ridge Loop, Vancouver, WA 98664-2484 | 2020-05-09 |
| 1740815422 | Sandrine Halka | Social Worker | 8607 Nw 21st Ave, Vancouver, WA 98665-6612 | 2020-03-03 |
| 1982236634 | Carmen Lynn Butcher-houston | Social Worker | 1601 E Fourth Plain Blvd # A152, Vancouver, WA 98661-3713 | 2020-02-11 |
| 1790316818 | Nw Social Work Services | Social Worker | 2114 Main St # 100198, Vancouver, WA 98660-2674 | 2020-01-28 |
| 1184261307 | Sarah Linfoot | Social Worker | 4317 Ne Thurston Way Ste 240, Vancouver, WA 98662-6660 | 2019-12-06 |
| 1740830868 | Thea Renee Hosford | Social Worker | 5205 Nw 141st St, Vancouver, WA 98685-1589 | 2019-09-19 |
| Find all providers in VANCOUVER | ||||
Please comment or provide details below to improve the information on RIVER ROCK CHURCH.
| 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.