Individual provider Active NPI

Oshetha Shakoor-Rivera

  • Mental Health Counselor
  • Boca Raton, FL
National Provider Identifier
1568970374
Registry record updated Sep 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MHC25211 Issued in FL
Practice address
621 NW 53Rd St Ste 125
Boca Raton, FL 33487-8236
Phone
(888) 588-8334
Fax
(888) 588-8334
NPI assigned
Jan 15, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC12303 GA
Mental Health Counselor 101YM0800X MHC25211 FL Primary

Addresses

Primary practice location

621 NW 53Rd St Ste 125
Boca Raton, FL 33487-8236

Mailing address

621 NW 53Rd St Ste 125
Boca Raton, FL 33487-8236
Phone (888) 588-8334

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

State licenses

LicenseStateTypeSpecialty
LPC12303GAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Relate and Recover LLC Mental Health CurrentSince Aug 29, 2021 Accepting new patients
Family Ties Inc. Past Accepting new patients

Locations

9170 Glades Rd
Ste 159
Boca Raton, FL 33434
Phone (470) 508-8800

2330 Scenic Hwy S
Ste 441
Snellville, GA 30078
Phone (470) 508-8800

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1515974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789689600000",
    "number": "1568970374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 NW 53RD ST STE 125",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334878236",
            "telephone_number": "888-588-8334",
            "fax_number": "888-588-8334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 NW 53RD ST STE 125",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334878236",
            "telephone_number": "888-588-8334",
            "fax_number": "888-588-8334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAKOOR-RIVERA",
        "first_name": "OSHETHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-15",
        "last_updated": "2026-09-18",
        "certification_date": "2026-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC12303",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MHC25211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2026; 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.