Individual provider Active NPI

Celine Rivers, FNP-C, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Rock Hill, SC
National Provider Identifier
1447585815
Registry record updated Nov 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APN.3998RX Issued in SC
Practice address
205 Piedmont Blvd Ste 100
Rock Hill, SC 29732-1836
Phone
(803) 327-2012
Fax
(803) 327-4198
NPI assigned
Oct 2, 2009
Last updated
Nov 30, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN.3998RX SC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APN.3998RX SC Primary

Addresses

Primary practice location

205 Piedmont Blvd Ste 100
Rock Hill, SC 29732-1836

Mailing address

524 Doctors CT
Chester, SC 29706-8644
Phone (803) 327-4198

Other practice location 1

524 Doctors Ct
Chester, SC 29706-8644
Phone (803) 581-8311

Other identifiers 2

IdentifierTypeStateIssuer
P01173514OtherSCRR-MEDICARE
NP1592MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121026000610 SC Practitioner - Nurse Practitioner 2264682293 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Medical University of South Carolina College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

448 Lakeshore Pkwy
Suite 110
Rock Hill, SC 29730-4264
Phone (803) 329-3177

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN.3998RXSCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Carolina Dept of Mental Health Accounting Office CurrentSince Aug 1, 2021 Accepting new patients
South Carolina Dept of Mental Health Accounting Office Current Accepting new patients
South Carolina Dept of Mental Health Accounting Office CurrentSince Aug 1, 2021 Accepting new patients

Locations

524 Doctors Ct
Chester, SC 29706
Phone (803) 325-7744

2414 Bull St
Columbia, SC 29201
Phone (803) 898-2461

205 Piedmont Blvd
Ste 100
Rock Hill, SC 29732
Phone (803) 327-2012

448 Lakeshore Pkwy
Ste 110
Rock Hill, SC 29730
Phone (803) 323-1779

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1254441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1447585815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "524 DOCTORS CT",
            "city": "CHESTER",
            "state": "SC",
            "postal_code": "297068644",
            "telephone_number": "803-327-4198",
            "fax_number": "803-385-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 PIEDMONT BLVD STE 100",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321836",
            "telephone_number": "803-327-2012",
            "fax_number": "803-327-4198"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "524 Doctors Ct",
            "address_purpose": "LOCATION",
            "city": "Chester",
            "state": "SC",
            "postal_code": "297068644",
            "country_code": "US",
            "telephone_number": "803-581-8311",
            "fax_number": "803-385-2440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERS",
        "first_name": "CELINE",
        "credential": "FNP-C, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-02",
        "last_updated": "2021-11-30",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "APN.3998RX",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SC",
            "license": "APN.3998RX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR-MEDICARE",
            "identifier": "P01173514",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP1592",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

Verify at the official NPI Registry.