Jose L, Rivera, PH.D.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

IMH9704 Issued in FL

Practice address

829 E Oak St Ste C
Kissimmee, FL 34744-5829

Phone

(386) 574-7417

Fax

(888) 217-4124

NPI assigned

Apr 2, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1333324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333324800000",
    "number": "1184990301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13816 CHIHULY CT",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328246100",
            "telephone_number": "407-240-1182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "829 E OAK ST STE C",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347445829",
            "telephone_number": "386-574-7417",
            "fax_number": "888-217-4124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "JOSE",
        "middle_name": "L,",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-02",
        "last_updated": "2012-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH9704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeielys Rivera
• Jennifer Rivera
• Jonathan Rivera
• Jose Rivera
• Jose A Rivera, MANAGING CONTROL CEO
• Kimberly Sarai Rivera, LCSW
• Lily Ann Rivera, MA, CAP, LMHC
• Lisamarie Rivera
• Lissette Rivera, RBT
• Liza M Rivera

• Mental Health Counselor in Kissimmee, FL
• Providers in Kissimmee, 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 2, 2012; 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.