Provider Demographics
NPI:1063235620
Name:RIVERSIDE COUNSELING SERVICES
Entity type:Organization
Organization Name:RIVERSIDE COUNSELING SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KREG
Authorized Official - Middle Name:
Authorized Official - Last Name:WESTERGREN
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:616-367-5813
Mailing Address - Street 1:7740 BYRON CENTER AVE SW STE 102
Mailing Address - Street 2:
Mailing Address - City:BYRON CENTER
Mailing Address - State:MI
Mailing Address - Zip Code:49315-6929
Mailing Address - Country:US
Mailing Address - Phone:616-367-5813
Mailing Address - Fax:
Practice Address - Street 1:7740 BYRON CENTER AVE SW STE 102
Practice Address - Street 2:
Practice Address - City:BYRON CENTER
Practice Address - State:MI
Practice Address - Zip Code:49315-6929
Practice Address - Country:US
Practice Address - Phone:616-367-5813
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-04
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty