Organization Active NPI

Dominica M. Rivera LLC

  • Community/Behavioral Health Agency
  • Ellenton, FL
National Provider Identifier
1851822308
Registry record updated Mar 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MH13846 Issued in FL
Legal business name
DOMINICA M. RIVERA LLC
Practice address
7216 US Highway 301 N
St. 104/105
Ellenton, FL 34222-3462
Phone
(941) 479-2320
NPI assigned
Mar 27, 2017
Last updated
Mar 27, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2017

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

Authorized official

Name
Dominica M Rivera, LMHC
Title
LMHC
Phone
(941) 479-2320

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MH13846 FL Primary

Addresses

Primary practice location

7216 US Highway 301 N
St. 104/105
Ellenton, FL 34222-3462

Mailing address

7216 US Highway 301 N
St. 104/105
Ellenton, FL 34222-3462
Phone (941) 479-2320

National Provider Directory

National Provider Directory

Locations

7216 US Highway 301 N
#104105
Ellenton, FL 34222
Phone (941) 479-2320

NPI Registry JSON

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

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490572800000",
    "number": "1851822308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7216 US HIGHWAY 301 N",
            "address_2": "ST. 104/105",
            "city": "ELLENTON",
            "state": "FL",
            "postal_code": "342223462",
            "telephone_number": "941-479-2320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7216 US HIGHWAY 301 N",
            "address_2": "ST. 104/105",
            "city": "ELLENTON",
            "state": "FL",
            "postal_code": "342223462",
            "telephone_number": "941-479-2320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOMINICA M. RIVERA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-27",
        "last_updated": "2017-03-27",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "DOMINICA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "LMHC",
        "authorized_official_telephone_number": "941-479-2320",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "MH13846",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellenton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; 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.