Necole Rivers

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

37382 Issued in TX

Practice address

1023 Canyon Creek Dr Ste 100
Temple, TX 76502-3278

Phone

(254) 338-3175

Fax

(254) 265-7061

NPI assigned

Jan 5, 2007

Last updated

Jan 13, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/11823/brand/2/csg/41/fhir/r4

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

• Necole Rivers LLC

  dba Outreach Therapy

  • Clinical Psychologist
  • Temple, TX
  • NPI 1063948032
  Medicare reassignment Authorized official
• Bluebonnet Trails Community MHMR Center

  dba Bluebonnet Trails Community Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Round Rock, TX
  • NPI 1730135864
  Medicare reassignment
• Barr Physical Therapy, P.C.

  dba KidZ TherapEZE

  • Pediatric Physical Therapist
  • Killeen, TX
  • NPI 1306927553

  Occupational Therapist

  NPD (past)
• San Luis Walk-in Clinic, Inc.

  • Rural Health Clinic/Center
  • Somerton, AZ
  • NPI 1003991506
  NPD (past)

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1053468603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 DAVIS MILL LN",
            "city": "SALADO",
            "state": "TX",
            "postal_code": "765715990",
            "telephone_number": "254-338-3175",
            "fax_number": "254-265-7061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 CANYON CREEK DR STE 100",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765023278",
            "telephone_number": "254-338-3175",
            "fax_number": "254-265-7061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERS",
        "first_name": "NECOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-05",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TX",
            "license": "37382",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "111722",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "TX",
            "license": "111722",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "TX",
            "license": "37382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gilse Breana Rivera
• Gloria Coral Rivera, MS, CCC-SLP
• Jana Lisa Rivera, M.D.
• Orlando Rivera Jr., CRNA
• Brandon Scott Rivers
• Regan Goocher Rivers
• Sammy Rizzotto
• Meredith V Roach, MD, MED
• Charles Richard Roberson, M.D.
• Shabree Roberson

• Clinical Psychologist in Temple, TX
• Providers in Temple, TX by specialty
• Clinical Psychologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.