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Active NPI 1043324353 Individual Practitioner Female Practitioner

River Jane Phoenix , LCPC

Counselor - Professional • Naperville, IL

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

River Phoenix, LCPC is a registered healthcare professional specializing in Counselor - Professional in Naperville, IL. Official NPI practice address is registered at 225 N WRIGHT ST.

Practice Location & Contact Primary Location

Practice Address

225 N Wright St

Naperville, IL 605404749

Telephone 6308853443
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Naperville, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.4 Yrs
State Avg: 17.0 Yrs
Regional Practice Density
333 Specialists

Practicing in Naperville, IL (9683 Statewide)

Telehealth Adoption Rate
5.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-05-10
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License IL 180-005544

Definition to come...

Counselor - Professional

NUCC Taxonomy Code: 101YP2500X

State License IL 180005544

Definition to come...

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
📍
Updated Practice Location May 10, 2023

Registered at 225 N WRIGHT ST, NAPERVILLE, IL 605404749 (Tel: 6308853443)

📍
Updated Business Mailing Address May 10, 2023

Registered at 225 N WRIGHT ST, NAPERVILLE, IL 605404749 (Tel: 6308853443)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 10, 2023

Counselor (License #180005544 in IL)

👤
Provider Name / Credentials Updated September 03, 2019

Recorded as RIVER PHOENIX, LCPC

NPI Profile Active April 25, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location April 25, 2011

Registered at 3S732 GLEN DR S, WARRENVILLE, IL 605553507 (Tel: 6308853443)

📍
Updated Business Mailing Address April 25, 2011

Registered at 3S732 GLEN DR S, WARRENVILLE, IL 605553507 (Tel: 6308853443)

👤
Provider Name / Credentials Updated April 25, 2011

Recorded as KIMBERLEY WATEROUS, M.S., LCPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 25, 2011

Counselor (License #180-005544 in IL)

🟢
Initial NPI Registration & Enumeration August 17, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1043324353
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 17, 2006
Last Update: May 10, 2023
Sole Proprietor: No

Mailing Address

225 N Wright St

Naperville, IL 605404749

Phone: 6308853443

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.