Jennifer Lyn Rios-Duque

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

630 S Wickham Rd Ste 107
West Melbourne, FL 32904-1429

Phone

(321) 608-0604

NPI assigned

Jan 5, 2022

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Alyssa Buchanan, LLC

  • Clinical Social Worker
  • West Melbourne, FL
  • NPI 1487194817

  Mental Health

  NPD

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

{
    "created_epoch": "1641340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1558022194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 772555",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328772555",
            "telephone_number": "407-694-2898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 S WICKHAM RD STE 107",
            "city": "WEST MELBOURNE",
            "state": "FL",
            "postal_code": "329041429",
            "telephone_number": "321-608-0604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIOS-DUQUE",
        "first_name": "JENNIFER",
        "middle_name": "LYN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-05",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Nichole Reedy
• Renewed Counseling, Inc.
• April Boltiador Reyes, RPT
• Donetta Gwin Reynolds
• Winnie Morales Reynoso, P.T.
• Alyssa Rock
• Sharon Rodriguez
• Catherine Ginger Rogers, LMHC
• George Roque, M.D.
• Alana Ross-Bassene

• Mental Health Counselor in West Melbourne, FL
• Providers in West Melbourne, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; 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.