Erica Reveron, LAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

2473 S Higley Rd Ste 104-124
Gilbert, AZ 85295-3020

Phone

(904) 415-5993

NPI assigned

Feb 9, 2020

Last updated

Feb 9, 2020By 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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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.

• Courage on Purpose

  • Mental Health Counselor
  • Gilbert, AZ
  • NPI 1275388985
  NPD
• Sondermind Provider Network LLC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1760854442
  NPD

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

{
    "created_epoch": "1581206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581206400000",
    "number": "1871125724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2473 S HIGLEY RD STE 104-124",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852953020",
            "telephone_number": "904-415-5993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2473 S HIGLEY RD STE 104-124",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852953020",
            "telephone_number": "904-415-5993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REVERON",
        "first_name": "ERICA",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-09",
        "last_updated": "2020-02-09",
        "certification_date": "2020-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "emreveron@gmail.com",
            "affiliation": "N",
            "address_1": "2473 S Higley Rd Ste 104-124",
            "city": "Gilbert",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852953020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• April Renee Resop, NP
• Maddison Ressa
• Restored Counseling & Wellness Center, PLLC (Restored Counseling & Wellness Center)
• Retina Institute of Arizona, PLLC
• Laurel Rettle, LPC, LISAC
• Revitalize Health and Wellness PLLC
• Revive Behavioral Health, LLC
• Revive Medical LLC
• Reviving Wellness LLC
• Emmeline Guintu Reyes, PMHNP-BC

• Mental Health Counselor in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.