Suleika Marie De Gracia Rivera, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

81648 Issued in TX

Practice address

1705 S Fort Hood St Ste 103B
Killeen, TX 76542-1681

Phone

(254) 239-1027

Fax

(254) 200-2453

NPI assigned

May 21, 2021

Last updated

May 21, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Counseling to Empowerment PLLC

  • Professional Counselor
  • Killeen, TX
  • NPI 1619413747
  NPD

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

{
    "created_epoch": "1621555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621555200000",
    "number": "1770158875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 S FORT HOOD ST STE 103B",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765421681",
            "telephone_number": "254-239-1027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 S FORT HOOD ST STE 103B",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765421681",
            "telephone_number": "254-239-1027",
            "fax_number": "254-200-2453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE GRACIA RIVERA",
        "first_name": "SULEIKA",
        "middle_name": "MARIE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-21",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "81648",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "81648",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Phillip L Day, MD
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• Isabel De la Cruz
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• Debbie Mabray PLLC (Counseling Solutions)
• Debbie Mabray PLLC

• Professional Counselor in Killeen, TX
• Providers in Killeen, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2021; 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.