Reva K Rocha, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

2004016352 Issued in MO

Practice address

902 N. Riverside Rd.
Ste. 100
St. Joseph, MO 64507-2552

Phone

(816) 271-1350

Fax

(816) 271-1355

NPI assigned

Jul 9, 2010

Sex

Female

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

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Tri-County Mental Health Services, IncGroup PAC ID 8426950718, 35 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• Tri-County Mental Health Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Kansas City, MO
  • NPI 1629080965
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1278633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278633600000",
    "number": "1467764233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "902 N. RIVERSIDE RD.",
            "address_2": "STE. 100",
            "city": "ST. JOSEPH",
            "state": "MO",
            "postal_code": "645072552",
            "telephone_number": "816-271-1350",
            "fax_number": "816-271-1355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "902 N. RIVERSIDE RD.",
            "address_2": "STE. 100",
            "city": "ST. JOSEPH",
            "state": "MO",
            "postal_code": "645072552",
            "telephone_number": "816-271-1350",
            "fax_number": "816-271-1355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCHA",
        "first_name": "REVA",
        "middle_name": "K",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-09",
        "last_updated": "2010-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2004016352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roberta J Peregrine
• Rebecca L Roberts, D.O.
• Bridget Robinson, ARNP
• Lisa Diane Robinson, LPC
• Rebecca Ann Robison, LCSW
• Rocky Mountain Holdings LLC
• Rocky Mountain Holdings, LLC
• Elizabeth Roderick, APRN-BC
• Alexandria Rodriguez
• Allison Marie Voeks Roe, D.O.

• Clinical Social Worker in St. Joseph, MO
• Providers in St. Joseph, MO by specialty
• Clinical Social Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.