Jacqueline Gonzalez-Rivera, LPC
Individual provider Active NPI Professional Counselor · Saint Robert, MO
NPI 1316540941 · NPPES record last updated Nov 17, 2020
Key facts
- NPI
- 1316540941
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 77909 (TX)
- Practice address
- 148 Hickory Valley Rd
Saint Robert, MO 65584-3227 - Phone
- (512) 808-7534
- NPI assigned
- Nov 17, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 77909 | TX | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 77909 | TX | Yes |
Addresses
Primary practice location
148 Hickory Valley Rd
Saint Robert, MO 65584-3227
Mailing address
148 Hickory Valley Rd
Saint Robert, MO 65584-3227
Phone (512) 808-7534
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jgriv@live.com | Direct |
Other providers in Saint Robert, MO
- Miranda Jo Fredrick
- General Leonard Wood Army Community Hospital
- George H Bailey DDS PC
- Rachel Glouner
- Destiny Jane Godfrey
- Ainsley Brianna Graff
- Catherine J. Gray
- Matilda Moore Guetersloh
- Mara Leah Haliczer
- Megan Hamilton
All providers in Saint Robert, MO · Professional Counselor in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.