Healthcare Provider Details

I. General information

NPI: 1730828245
Provider Name (Legal Business Name): RIVER PINES COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/02/2022
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 NEW ENGLAND PLACE SUITE #150
STILLWATER MN
55082
US

IV. Provider business mailing address

105 NEW ENGLAND PL STE 150
STILLWATER MN
55082-2036
US

V. Phone/Fax

Practice location:
  • Phone: 651-304-4117
  • Fax: 651-342-2361
Mailing address:
  • Phone: 651-304-4117
  • Fax: 651-342-2361

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: DARCY STIVLAND
Title or Position: OWNER OF RIVER PINES COUNSELING
Credential: LICSW
Phone: 651-304-4117