Active NPI
Amanda Rivers-Kelly, LMHC
- Mental Health Counselor
- East Bridgewater, MA
National Provider Identifier
1043429731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 7357
- Practice address
- 56 N Bedford St
East Bridgewater, MA 02333-1173 - Phone
- (781) 561-7930
- Fax
- (508) 857-0202
- NPI assigned
- May 21, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 7357 | MA | Primary |
Addresses
Primary practice location
56 N Bedford St
East Bridgewater, MA 02333-1173
Mailing address
56 N Bedford St
East Bridgewater, MA 02333-1173
Phone (781) 561-7930
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7357 | MA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1432944000000",
"number": "1043429731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "56 N BEDFORD ST",
"city": "EAST BRIDGEWATER",
"state": "MA",
"postal_code": "023331173",
"telephone_number": "781-561-7930",
"fax_number": "508-857-0202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "56 N BEDFORD ST",
"city": "EAST BRIDGEWATER",
"state": "MA",
"postal_code": "023331173",
"telephone_number": "781-561-7930",
"fax_number": "508-857-0202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERS-KELLY",
"first_name": "AMANDA",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-21",
"last_updated": "2015-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "7357",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Bridgewater, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.