Active NPI
Dominica M. Rivera LLC
- Community/Behavioral Health Agency
- Ellenton, FL
National Provider Identifier
1851822308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- MH13846
- 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, 2017
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.