MOUNTAIN RIVER COUNSELING AND CONSULTING LLC – NPI #1356047047
Clinic/Center

MOUNTAIN RIVER COUNSELING AND CONSULTING LLC is an AHC clinic located in BEND, OR. NPPES has assigned the NPI number 1356047047 to MOUNTAIN RIVER COUNSELING AND CONSULTING LLC on February 03, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QM0801X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Mental Health (Including Community Mental Health Center)

The NPI profile was last updated on Dec 05, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MOUNTAIN RIVER COUNSELING AND CONSULTING LLC below.

NPI Profile for
MOUNTAIN RIVER COUNSELING AND CONSULTING LLC

NPI Number
1356047047
Enumeration Date

(more than 3 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MOUNTAIN RIVER COUNSELING AND CONSULTING LLC
Primary location
20273 REED LN
BEND, OR 97702
Phone: (425) 654-0424 Fax:
1 Other location(s):
20273 Reed Ln
Bend, OR 97702
Phone: (425) 654-0424
Mailing address
61141 S HWY 97 # 226
BEND, OR 97702-2523
Phone: (425) 654-0424 Fax:
Organization Subpart
No
Authorized Official
EDWARD EWE
OWNER
Phone: (425) 654-0424
Updated
Certification Date
Dec 05, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for MOUNTAIN RIVER COUNSELING AND CONSULTING LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidOR500810109
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM0801X
- Clinic/Center / Mental Health (Including Community Mental Health Center) (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.