Great River Psychotherapy PLLC
NPI 1588206940 · Clinical Psychologist · Saint Paul, MN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Great River Psychotherapy PLLC is a Clinical Psychologist organization in Saint Paul, MN (NPI 1588206940).
Provider details
- NPI number
- 1588206940
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Lisa Rogers, Co-Owner(651) 503-7391
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Psychologist103T00000X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-10-16
- Last updated
- 2020-04-08
- Certified
- 2020-04-08
Frequently asked questions
- What is Great River Psychotherapy PLLC's NPI number?
- Great River Psychotherapy PLLC's National Provider Identifier (NPI) is 1588206940, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Great River Psychotherapy PLLC?
- Great River Psychotherapy PLLC is classified in the NPPES registry as Clinical Psychologist (Behavioral Health & Social Service Providers).
- Where is Great River Psychotherapy PLLC located?
- Great River Psychotherapy PLLC's practice location on file with NPPES is 790 Cleveland Ave S Ste 201, Saint Paul, MN 55116-3845.
- What is Great River Psychotherapy PLLC's phone number?
- The practice phone number listed in the NPPES registry for Great River Psychotherapy PLLC is (651) 503-7391.
- Does Great River Psychotherapy PLLC accept Medicare?
- Great River Psychotherapy PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Great River Psychotherapy PLLC?
- The authorized official listed on Great River Psychotherapy PLLC's NPPES record is Lisa Rogers, Co-Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Great River Psychotherapy PLLC's NPI active?
- Yes — Great River Psychotherapy PLLC's NPI (1588206940) is active in the NPPES registry as of the last update on 2020-04-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.