NPIMap

Organization Active NPI

Necole Rivers LLC

  • Clinical Psychologist
  • Temple, TX
National Provider Identifier
1063948032
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
NECOLE RIVERS LLC
Practice address
1023 Canyon Creek Dr Ste 100
Temple, TX 76502-3278
Phone
(254) 265-7822
Fax
(254) 265-7061
NPI assigned
May 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Authorized official

Name
Necole L RiversNPI 1053468603
Title
President/Provider/Psychologist
Phone
(254) 338-3175

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC0700X Primary
Clinical Child & Adolescent PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC2200X

Addresses

Primary practice location

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

Mailing address

1506 Davis Mill LN
Salado, TX 76571-5990
Phone (254) 338-3175

Other names 1

  • OUTREACH THERAPY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170518001141 TX Part B Supplier - Clinic/Group Practice 0042587255 Receives reassigned benefits from 3 practitioners
Practice locations: Temple, TX

National Provider Directory

National Provider Directory

Locations

1023 Canyon Creek Dr
Ste 105
Temple, TX 76502
Phone (254) 218-3737

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736380800000",
    "number": "1063948032",
    "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": "254-265-7822",
            "fax_number": "254-265-7061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NECOLE RIVERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A",
        "authorized_official_last_name": "RIVERS",
        "authorized_official_first_name": "NECOLE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT/PROVIDER/PSYCHOLOGIST",
        "authorized_official_telephone_number": "254-338-3175"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OUTREACH THERAPY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "OUTREACH THERAPY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Temple, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.