Individual provider Active NPI

Rivette Cole, LCASA

  • Mental Health Counselor
  • Fayetteville, NC
National Provider Identifier
1003230210
Registry record updated Sep 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
2820 Bolla Dr
Fayetteville, NC 28306-4952
Phone
(910) 797-6511
Fax
(910) 491-1000
NPI assigned
Feb 7, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

2820 Bolla Dr
Fayetteville, NC 28306-4952

Mailing address

2820 Bolla Dr
Fayetteville, NC 28306-4592
Phone (910) 797-6511

Other identifiers 1

IdentifierTypeStateIssuer
P007442OtherNCNCSWB

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Carter Clinic, PA Past Accepting new patients
Carter Clinic, P.a. PastSince Aug 25, 2019 Accepting new patients
Carter Clinic, P a Mental Health Past Accepting new patients
Carter Clinic, P.a. PastSince Mar 4, 2021 Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1391731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472774400000",
    "number": "1003230210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 BOLLA DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283064592",
            "telephone_number": "910-797-6511",
            "fax_number": "910-491-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 BOLLA DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283064952",
            "telephone_number": "910-797-6511",
            "fax_number": "910-491-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "RIVETTE",
        "credential": "LCASA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-02-07",
        "last_updated": "2016-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCSWB",
            "identifier": "P007442",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.