Keith Rivers, L.P.C.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

72009 Issued in TX

Practice address

5701 Avenue P
Lubbock, TX 79412-3674

Phone

(806) 747-3488

NPI assigned

Sep 19, 2016

Last updated

Sep 19, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

State licenses

Practice roles

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.

• Family Service Assn of Lubbock, Texas, Inc.

  • Clinical Social Worker
  • Lubbock, TX
  • NPI 1659541308
  NPD (past)

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

{
    "created_epoch": "1474243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474243200000",
    "number": "1811445828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11205 COLTON AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794241186",
            "telephone_number": "806-470-5162",
            "fax_number": "806-740-1471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 AVENUE P",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794123674",
            "telephone_number": "806-747-3488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERS",
        "first_name": "KEITH",
        "name_prefix": "Mr.",
        "credential": "L.P.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-19",
        "last_updated": "2016-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "72009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diego Rivera, MDPA
• Jesse Leann Rivera, FNP
• Lachon Machelle Rivera
• Jonathan Rivero, PTA
• Jordan Kay Rivero, BCBA
• Brandon Lee Rix, PT, DPT
• Natalie R Rix, OT
• Carlos Rizo-Patron, M.D.
• Joseph A Rizzo, M.D.
• Samantha Nicole Rizzuti, RN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2016; 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.