MOUNTAIN RIVER THERAPY, LLC
NPI 1598303315
Community/Behavioral Health in Bend, OR

Active since December 11, 2019
223 SE DAVIS AVE, BEND, OR 97702(480) 307-2713 Get Directions Write a Review

NPPES record last updated: August 5, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jan 3, 2022, Dec 11, 2019 (2 updates tracked since 2019).

About Mountain River Therapy, Llc NPPES

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

MOUNTAIN RIVER THERAPY, LLC (NPI 1598303315) is a healthcare organization registered as a community/behavioral health in Bend, Oregon and active in the NPI registry since December 2019. The organization lists Lesley Srikantaiah, Owner, as its authorized official.

NPPES Registry Identity

NPI1598303315
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameMOUNTAIN RIVER THERAPY, LLC
Location Address223 SE DAVIS AVEBend, OR 97702-3526
Mailing Address70 Sw Century Dr. Ste 100 Pmb 5099Bend, OR 97702-3558 · (541) 516-0124
Organization SubpartNo
Authorized OfficialLesley SrikantaiahOwner · (541) 516-0124
Enumeration DateDecember 11, 2019
Last NPPES UpdateAugust 5, 20232 updates tracked since enumeration
NPPES CertifiedAugust 5, 2023
✔ NPI 1598303315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, 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.
223 SE DAVIS AVE, Bend, OR 97702

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mountain River Therapy, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mountain River Therapy, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Social Worker
NPI 1215439435
223 SE DAVIS AVE
Bend, OR 97702
(541) 516-0124
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Mountain River Therapy, LLC's NPI number?

The NPI number for Mountain River Therapy, LLC is 1598303315. It was assigned to this organization in the NPPES registry on December 11, 2019.

Where is Mountain River Therapy, LLC located?

Mountain River Therapy, LLC is located at 223 SE Davis Ave, Bend, OR 97702. The listed phone number is (480) 307-2713.

What is Mountain River Therapy, LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Mountain River Therapy, LLC enrolled in Medicare?

Yes. Mountain River Therapy, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mountain River Therapy, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Mountain River Therapy, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Mountain River Therapy, LLC accept?

Health plans from Moda Health Plan, Inc. list Mountain River Therapy, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mountain River Therapy, LLC was last updated on August 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.