Terry Jo Rivera

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

120703 Issued in CA

Practice address

1368 Lincoln Ave Ste 214
San Rafael, CA 94901-2121

Phone

(415) 810-4510

NPI assigned

Oct 20, 2021

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1634688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1346903820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 GREGORY DR",
            "city": "FAIRFAX",
            "state": "CA",
            "postal_code": "949301005",
            "telephone_number": "415-810-4510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1368 LINCOLN AVE STE 214",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949012121",
            "telephone_number": "415-810-4510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "TERRY",
        "middle_name": "JO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-20",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "120703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ritter Center
• Valerie Rivas, NP
• Valerie Janette Rivas, ASW
• Elizabeth Rivera
• Elli M Rivera
• Ann Dale Rivo
• Joan Campbell Roane, MFT
• Lisa Marie Robechek, M.DIV.
• Robert B Levine OD a Professional Optometric Corporation
• Roberta Seifert PHD a Psychological Corporation

• Marriage & Family Therapist in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.