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

Great River Psychotherapy PLLC

Organization Psychologist · NPI 1588206940

Great River Psychotherapy PLLC is a Psychologist in Saint Paul, Minnesota. Registered with an NPI since 2019.

In the registry since
2019
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

790 Cleveland Ave S Ste 201
Saint Paul, MN 55116-3845
Phone: (651) 503-7391
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X
Psychologist Taxonomy 103T00000X

Record details

NPI number1588206940
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Rogers — Co-Owner · (651) 503-7391
NPI enumeratedOctober 16, 2019
Last updated in NPPESApril 8, 2020
Certification dateApril 8, 2020
Mailing address790 Cleveland Ave S Ste 201, Saint Paul, MN 55116-3845

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