Suely G. Rivera, MS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

7157 Narcoossee Rd # 1016
Orlando, FL 32822-5533

Phone

(321) 878-3008

NPI assigned

Nov 26, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• In Bloom Counseling and Wellness, LLC

  • Mental Health Counselor
  • Orlando, FL
  • NPI 1598347692
  NPD Authorized official

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

{
    "created_epoch": "1543190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1174093892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11885 FICTION AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328325120",
            "telephone_number": "321-465-2271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7157 NARCOOSSEE RD # 1016",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328225533",
            "telephone_number": "321-878-3008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7550 Futures Dr Ste 105",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328199096",
            "country_code": "US",
            "telephone_number": "321-946-0469",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6900 Tavistock Lakes Blvd Ste 400",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328277593",
            "country_code": "US",
            "telephone_number": "321-701-3064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "SUELY",
        "middle_name": "G.",
        "name_prefix": "Mrs.",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-26",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH18992",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Saulo J Rivera, AP
• Sebastian Rivera, MD
• Sofia Nathalie Rivera
• Stacey Rivera, ARNP
• Stephanie A Rivera, PHYSICIAN ASSISTANT
• Tara Angela Rivera
• Tonya Rivera
• Vanessa Rivera, BS
• Vanessa Rivera
• Vemari M Rivera

• Mental Health Counselor in Orlando, FL
• Providers in Orlando, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; 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.