Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

779 Riverside Recovery & Counseling Services

Organization Counselor · NPI 1437636131

779 Riverside Recovery & Counseling Services is a Counselor in Edina, Minnesota. Licensed in Minnesota. Registered with an NPI since 2018.

Licensed in
MN
In the registry since
2018
Specialties on file
9

Practice location Address checks out

4940 W 77th St
Edina, MN 55435-4805
Phone: (612) 223-6622
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 303344 (MN)
Counselor Taxonomy 101Y00000X · Licence 00935 (MN)
Mental Health Counselor Taxonomy 101YM0800X · Licence 00935 (MN)
Professional Counselor Taxonomy 101YP2500X · Licence 00935 (MN)
Cognitive & Behavioral Psychologist Taxonomy 103TB0200X · Licence 00935 (MN)
Clinical Psychologist Taxonomy 103TC0700X · Licence 00935 (MN)
Group Psychotherapy Psychologist Taxonomy 103TP2701X · Licence 00935 (MN)
Adult Mental Health Clinic/Center Taxonomy 261QM0850X · Licence 00935 (MN)
Adolescent and Children Mental Health Clinic/Center Taxonomy 261QM0855X · Licence 00935 (MN)

Record details

NPI number1437636131
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Coach Nakumbe — Owner / Clinical Director · (612) 223-6622
NPI enumeratedJuly 25, 2018
Last updated in NPPESJuly 25, 2018
Mailing address8014 Highway 55 Unit 197, Golden Valley, MN 55427-4712

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