Active NPI
Miriam Rivkin, LPCC
- Mental Health Counselor
- Cleveland Heights, OH
National Provider Identifier
1063176436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 101YP2500X
- Practice address
- 3643 Shannon Rd
Cleveland Heights, OH 44118-1928 - Phone
- (216) 516-1526
- NPI assigned
- Oct 22, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 37PC01199000 | NJ | |
| Mental Health Counselor | 101YM0800X | 101YP2500X | OH | Primary |
| Professional Counselor | 101YP2500X | E.2505299 |
Addresses
Primary practice location
3643 Shannon Rd
Cleveland Heights, OH 44118-1928
Mailing address
3643 Shannon Rd
Cleveland Heights, OH 44118-1928
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
66 E Flagler St
Miami, FL 33130-1807
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37PC01199000 | NJ | MD | Marriage & Family Therapist |
| 101YP2500X | OH | MD | Case Manager/Care Coordinator |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Mental Health | Current | Accepting new patients |
| Grow Healthcare Group of New Jersey PC | Mental Health | Current | Accepting new patients |
| Psychological & Behavioral Consultants, LLC | Mental Health | Past | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
221 River St
Ste 9
Hoboken, NJ 07030
Phone (201) 439-8902
4449 Easton Way
Fl 2
Columbus, OH 43219
Phone (614) 565-8197
Organizations & group practices 3
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.
-
- Mental Health Counselor
- Hoboken, NJ
- NPI 1841949328
-
dba LifeStance Health
- Psychiatry Physician
- Beachwood, OH
- NPI 1811915713
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761523200000",
"number": "1063176436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3643 SHANNON RD",
"city": "CLEVELAND HEIGHTS",
"state": "OH",
"postal_code": "441181928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3643 SHANNON RD",
"city": "CLEVELAND HEIGHTS",
"state": "OH",
"postal_code": "441181928",
"telephone_number": "216-516-1526"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVKIN",
"first_name": "MIRIAM",
"name_prefix": "Mrs.",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-22",
"last_updated": "2025-10-27",
"certification_date": "2025-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NJ",
"license": "37PC01199000",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "101YP2500X",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": "E.2505299",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.