River Jane Phoenix , LCPC

Counselor - Professional • Naperville, IL

Active NPI 1043324353 Individual Practitioner Female Practitioner

Practice location in NPPES

225 N Wright St
Naperville, IL 605404749

Call 6308853443 Location details and other listings

Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

River Phoenix is listed in NPPES under Counselor - Professional.
NPI assigned on August 17, 2006; this date does not establish years in practice.
No Medicare Part B / Part D records for this NPI in the CMS files shown here. CMS covers only Medicare fee-for-service / Part D claims and omits records with fewer than 11 beneficiaries, so this does not show whether the provider accepts Medicare or prescribes.

Practice Location & Contact Primary Location

Practice Address

225 N Wright St

Naperville, IL 605404749

Telephone 6308853443

Before You Book

Paying without insurance? Prepare a cost-estimate request

Ask about interpreters and office accessibility

Organization at the Same NPPES Address or Phone

Compassionate Psychological Services Llc Facility NPI 1053002477

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

What Public CMS Data Show

These CMS figures cover limited populations and published records; they are not quality ratings or medical advice.

Counselor - Professional: NPPES taxonomy is a reported classification, not proof of board certification.

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Naperville and Illinois

330 active clinicians are listed under Counselor - Professional with a practice address in Naperville, IL (9,512 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Naperville

5.2% of these 330 clinicians have the CMS telehealth indicator.

12.4% of these 330 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-05-10

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES IL 180-005544

Counselor - Professional

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES IL 180005544

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.

Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events

📍

Updated Practice Location May 10, 2023

Registered at 225 N WRIGHT ST, NAPERVILLE, IL 605404749 (Tel: 6308853443)

📍

Updated Business Mailing Address May 10, 2023

Registered at 225 N WRIGHT ST, NAPERVILLE, IL 605404749 (Tel: 6308853443)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 10, 2023

Counselor (license number reported to NPPES: IL 180005544)

👤

Provider Name / Credentials Updated September 03, 2019

Recorded as RIVER PHOENIX, LCPC

✅

NPI Profile Active April 25, 2011

NPI status registered as active in NPPES database

📍

Practice Location (Initial Record) April 25, 2011

Registered at 3S732 GLEN DR S, WARRENVILLE, IL 605553507 (Tel: 6308853443)

📍

Business Mailing Address (Initial Record) April 25, 2011

Registered at 3S732 GLEN DR S, WARRENVILLE, IL 605553507 (Tel: 6308853443)

👤

Provider Name / Credentials (Initial Record) April 25, 2011

Recorded as KIMBERLEY WATEROUS, M.S., LCPC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 25, 2011

Counselor (license number reported to NPPES: IL 180-005544)

🟢

Initial NPI Registration & Enumeration August 17, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1043324353

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 17, 2006

Last Update: May 10, 2023

Sole Proprietor: No

Update or Correct Profile

Other Counselor - Professionals in Naperville

All Counselor - Professionals in Naperville

Mailing Address

225 N Wright St

Naperville, IL 605404749

Phone: 6308853443

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.