RUSSIAN RIVER COUNSELORS
NPI 1629196290
Psychologist - Group Psychotherapy in Monte Rio, CA

Active since March 26, 2007
19375 HWY. 116, MONTE RIO, CA 95462(707) 865-1200 Get Directions Write a Review

NPPES record last updated: October 6, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 6, 2022, Sep 2, 2016, Dec 18, 2015 and 1 more (4 updates tracked since 2015).

About Russian River Counselors NPPES

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

RUSSIAN RIVER COUNSELORS (NPI 1629196290) is a healthcare organization registered as a group psychotherapy in Monte Rio, California and active in the NPI registry since March 2007. The organization lists Denise Horner, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1629196290
Entity TypeOrganization
Primary Taxonomy103TP2701X
Legal Business NameREDWOOD PSYCHOLOGY CENTER, INC
Location Address19375 HWY. 116Monte Rio, CA 95462
Mailing AddressPo Box 519Monte Rio, CA 95462 · (707) 865-1200
Organization SubpartNo
Authorized OfficialDenise HornerExecutive Director · (707) 865-1200
Enumeration DateMarch 26, 2007
Last NPPES UpdateOctober 6, 20224 updates tracked since enumeration
NPPES CertifiedOctober 6, 2022
✔ NPI 1629196290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Group PsychotherapyBehavioral Health & Social Service Providers
Taxonomy Code103TP2701X
License✔ Licensed in CA · 110000330
Definition
A psychologist who specializes in group psychology and group psychotherapy that is an evidenced-based specialty that prepares group leaders to identify and capitalize on developmental and healing possibilities embedded in the interpersonal/intrapersonal functioning of individual group members as well as collectively for the group. Emphasis is placed on the use of group dynamics to assist and treat individual group members. The specialty is applicable to all age groups, children, adolescents, adults and older adults, for a wide variety of conditions and concerns, and in numerous and diverse settings.
19375 HWY. 116, Monte Rio, CA 95462

Other Names 1

Doing Business AsRussian River Counselors

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Russian River Counselors is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Russian River Counselors, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Marriage and Family Therapist
NPI 1528225786
19375 HIGHWAY 116
Monte Rio, CA 95463
(707) 865-1200
✔ PECOS✔ Accepts MedicareSame address
Marriage and Family Therapist
NPI 1659521847
19375 HWY 116
Monte Rio, CA 95462
(707) 865-1200
✔ PECOSSame address
Marriage and Family Therapist
NPI 1457571978
19375 HIGHWAY 116
Monte Rio, CA 95462
(707) 865-1200
✔ PECOSSame address
Clinical Psychologist
NPI 1164787354
19375 HIGHWAY 116
Monte Rio, CA 95462
(707) 865-1200
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1881818292
BOX 519 19375 HIGHWAY 116
Monte Rio, CA 95462
(707) 865-1200
✔ PECOS✔ Accepts Medicare2.7 mi
Psychologist Billing Independently
NPI 1346626744
920 MENDOCINO AVE STE 4
Santa Rosa, CA 95401
(707) 583-2363
✔ Accepts Medicare15 mi
Clinical Psychologist
NPI 1508325903
1301 N BROADWAY STE 32424
Los Angeles, CA 90012
(805) 225-4446
✔ PECOS404 mi

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 Redwood Psychology Center, Inc's NPI number?

The NPI number for Redwood Psychology Center, Inc is 1629196290. It was assigned to this organization in the NPPES registry on March 26, 2007. The provider is doing business as Russian River Counselors.

Where is Redwood Psychology Center, Inc located?

Redwood Psychology Center, Inc is located at 19375 Hwy. 116, Monte Rio, CA 95462. The listed phone number is (707) 865-1200.

What is Redwood Psychology Center, Inc's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Group Psychotherapy, with taxonomy code 103TP2701X.

Is Redwood Psychology Center, Inc enrolled in Medicare?

Yes. Redwood Psychology Center, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Redwood Psychology Center, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 3 Medicare specialties reassign their Medicare billing to Redwood Psychology Center, Inc. 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. The largest specialties are Clinical Psychologist (3), Marriage and Family Therapist (3) and Psychologist Billing Independently (1). Of these, 4 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Redwood Psychology Center, Inc was last updated on October 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.