RIVERS MENTAL HEALTH PLLC NPI 1689378655

NPI Information

NPI: 1689378655
Provider Name: RIVERS MENTAL HEALTH, PLLC
Classification: Clinic/Center - 261QM0801X
Specialization: Mental Health (Including Community Mental Health Center)
Entity Type: Organization
Address: 4525 WHITE BEAR PKWY STE 226
WHITE BEAR LAKE, MN
ZIP 55110
Phone: (612) 702-5432

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NPI Details

RIVERS MENTAL HEALTH, PLLC is a mental health (including community mental health center) clinic center in White Bear Lake, MN. RIVERS MENTAL HEALTH, PLLC NPI is 1689378655. The provider is registered as an organization entity type.

The provider's business location address is:

4525 WHITE BEAR PKWY STE 226
WHITE BEAR LAKE, MN
ZIP 55110-660
Phone: (612) 702-5432
Fax: (612) 540-0949

The provider's authorized official is Charles Roth Miller .
The authorized official title is Owner And Therapist and has the following contact phone number (612) 702-5432.

The enumeration date for this NPI number is 3/27/2023 and was last updated on 10/27/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No
2	261QM0850X	Clinic/Center	Adult Mental Health	No
3	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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