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

Riverside Counseling Clinic, LLC

Organization Clinical Psychologist · NPI 1417160953

Riverside Counseling Clinic, LLC is a Clinical Psychologist in Eau Claire, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.

Licensed in
WI
In the registry since
2007
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

130 S Barstow St
Eau Claire, WI 54701-3691
Phone: (715) 833-7600
Fax: (715) 833-7116
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 6585-123 (WI)
Clinical Psychologist Taxonomy 103TC0700X · Licence 2375-057 (WI)

Record details

NPI number1417160953
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sandra Willoughby — Partner · (715) 833-7600
NPI enumeratedMay 8, 2007
Last updated in NPPESSeptember 11, 2025
Mailing address130 S Barstow St, Eau Claire, WI 54701-3691

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