Active NPI
Jean Alea Rivera
- Mental Health Counselor
- Milford, CT
National Provider Identifier
1457041535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 291 Rock LN
Milford, CT 06460-3831 - Phone
- (203) 306-7338
- NPI assigned
- May 11, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
291 Rock LN
Milford, CT 06460-3831
Mailing address
291 Rock LN
Milford, CT 06460-3831
Phone (203) 306-7338
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683763200000",
"number": "1457041535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "291 ROCK LN",
"city": "MILFORD",
"state": "CT",
"postal_code": "064603831",
"telephone_number": "203-306-7338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "291 ROCK LN",
"city": "MILFORD",
"state": "CT",
"postal_code": "064603831",
"telephone_number": "203-306-7338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "JEAN",
"middle_name": "ALEA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-11",
"last_updated": "2023-05-11",
"certification_date": "2023-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Milford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.