1. Home
  2. Directory
  3. Illinois
  4. Naperville
  5. Counselor
  6. NPI Profile

RIVER JANE PHOENIX LCPC
NPI 1043324353
Counselor - Professional in Naperville, IL

Active since August 17, 2006
225 N WRIGHT ST, NAPERVILLE, IL 60540(630) 885-3443 Get Directions Write a Review

NPPES record last updated: May 10, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 10, 2023, Sep 3, 2019 (2 updates tracked since 2019).

About River Jane Phoenix Lcpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RIVER JANE PHOENIX LCPC (NPI 1043324353) is an individual professional provider in Naperville, Illinois, licensed in Illinois (180-005544) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1043324353
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameRIVER JANE PHOENIXCredential: LCPC
Location Address225 N WRIGHT STNaperville, IL 60540-4749
Mailing Address225 N Wright StNaperville, IL 60540-4749 · (630) 885-3443
Phone(630) 885-3443
Sole ProprietorNo
Enumeration DateAugust 17, 2006
Last NPPES UpdateMay 10, 20232 updates tracked since enumeration
NPPES CertifiedMay 10, 2023
✔ NPI 1043324353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in IL · 180-005544✔ Licensed in IL · 180005544
225 N WRIGHT ST, Naperville, IL 60540
Open in Google Maps ↗

Other Names 1

Former Name (1)Kimberly Jane Waterous Lcpc

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COMPASSIONATE PSYCHOLOGICAL SERVICES LLC
Counselor (Professional)
225 N WRIGHT ST
NAPERVILLE, IL 60540
Dupage County (630) 885-3443

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is River Phoenix's NPI number?

The NPI number for River Phoenix is 1043324353. It was assigned to this individual provider in the NPPES registry on August 17, 2006. The provider is also known as Kimberly Jane Waterous Lcpc.

Where is River Phoenix located?

River Phoenix practices at 225 N Wright St, Naperville, IL 60540. The listed phone number is (630) 885-3443.

What is River Phoenix's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for River Phoenix was last updated on May 10, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.