MOUNTAIN RIVER THERAPY, LLC (NPI# 1598303315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598303315 |
| Entity Type | Organization |
| Organization Name | MOUNTAIN RIVER THERAPY, LLC |
| Practice Address |
20652 Couples Ln Bend OR 97702-2983 |
| Practice Telephone | 4803072713 |
| Mailing Telephone | 4803072713 |
| Enumeration Date | 2019-12-11 |
| Last Update Date | 2019-12-11 |
| Authorized Official Name | LESLEY SRIKANTAIAH (OWNER) |
| Authorized Official Telephone | 4803072713 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | MOUNTAIN RIVER THERAPY, LLC | 20652 Couples Ln, Bend, OR 97702 |
| Street Address |
20652 COUPLES LN |
| City | BEND |
| State | OR |
| Zip Code | 97702-2983 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629676259 | Amy Michelle Anderson | Counselor | 233 Sw Wilson Ave, Ste 201, Bend, OR 97702 | 2020-10-15 |
| 1386259463 | Jacob Rehder | Counselor | 19717 Mt Batchelor Dr, #226, Bend, OR 97702 | 2020-09-15 |
| 1497385215 | Capacity Performance Therapy | Physical Medicine & Rehabilitation | 61125 Lodgepole Dr., Bend, OR 97702 | 2020-01-21 |
| 1962041707 | Shift Bend Functional Medicine | Family Medicine | 151 Sw Shevlin Hicks Dr, Suite #1, Bend, OR 97702 | 2019-12-26 |
| 1609435049 | Praxis Medical Group Inc | Orthopaedic Surgery | 1140 Sw Simpson Avenue, Suite 100, Bend, OR 97702 | 2019-06-10 |
| 1013485754 | Elana Leah Pesah | Social Worker | 138 Maaglei Harim Levin, Jerusalem, ISRAEL 97702 | 2018-11-12 |
| 1104303239 | Kyleigh Mcvey | Massage Therapist | 999 Sw Disk Dr, Bend, OR 97702 | 2018-07-21 |
| 1477042869 | Siloe Castaneda Huerta | Counselor | 1340 Nw Wall, Bend, Or, Bend, OR 97702 | 2018-05-02 |
| 1164910808 | Rebecca M Joyce | Social Worker | 1011 Sw Emkay Dr. Suite 101, Bend, OR 97702 | 2018-04-27 |
| 1093217978 | Jennifer Bury | Acupuncturist | 296 Sw Columbia St Ste D1, Bend, OR 97702 | 2018-03-06 |
| Find all providers in zip 97702 | ||||
| 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 |
|---|---|---|---|---|
| 1982172896 | River Bend Therapy, LLC | Community/Behavioral Health | 147 Sw Shevlin Hixon Dr Ste 201, Bend, OR 97702-1137 | 2018-11-08 |
| 1962881706 | Bend Therapist, LLC | Community/Behavioral Health | 2140 Nw Clearwater Dr, Bend, OR 97701-7013 | 2015-05-27 |
| 1457789562 | New Vision West, Inc | Community/Behavioral Health | 2120 Ne Bear Creek Rd, Bend, OR 97701-7184 | 2013-10-29 |
| 1396010773 | Bend Family Therapy, LLC | Community/Behavioral Health | 2660 Ne Highway 20 Ste 610, #333, Bend, OR 97701-6403 | 2012-03-18 |
| 1013142272 | Liz Hinchliffe LLC | Community/Behavioral Health | 1012 Nw Wall St Ste 225, Bend, OR 97701-2034 | 2009-05-18 |
| 1467695940 | Corconcepts Counseling & Enrichment Center | Community/Behavioral Health | 1034 Ne 7th St, Suite A, Bend, OR 97701-4511 | 2009-04-13 |
| 1477729986 | Mcguire Ellingboe, LLP | Community/Behavioral Health | 888 Nw Hill St, Suite 1, Bend, OR 97701-2766 | 2008-05-05 |
| 1184800187 | Resolutions Creative Conflict Management, Inc | Community/Behavioral Health | 2052 Ne 4th St, Bend, OR 97701-3825 | 2008-01-21 |
| 1396877908 | Pfeifer & Associates | Community/Behavioral Health | 23 Nw Greenwood Ave, Bend, OR 97701-2078 | 2007-03-09 |
| 1508934696 | Trillium Family Services, Inc. | Community/Behavioral Health | 63660 Nw Britta St Ste 1, Bend, OR 97701-9475 | 2006-11-30 |
| Find all providers in BEND | ||||
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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.