Active NPI
Oshetha Shakoor-Rivera
- Mental Health Counselor
- Boca Raton, FL
National Provider Identifier
1568970374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MHC25211
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| LPC12303 | GA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Relate and Recover LLC | Mental Health | Current | 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.
-
- Mental Health Counselor
- Snellville, GA
- NPI 1144996810
-
- Community/Behavioral Health Agency
- Sandy Springs, GA
- NPI 1275753782
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
- Suhaa Shafi, PA
- Ria Shah
- Sejal Shah, D.O.
- Shahriar Hoghooghi DMD, PA (Dental Associates of Boca Greens)
- Julie Ann Shaikh, PHD, LCSW
- Shimshon Shamoil, MD
- Shan Group 4 LLC (Accessible Home Health Care of West Palm Beach)
- Kirvin Dough Shand, MASSAGE THERAPISTS
- Shannon's Social Work Services, LLC
- Shaping Skills Academy Inc
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.