Individual provider Active NPI

Eric Oscar Jackson-Rivera, B.A., C.P.S.

  • Mental Health Counselor
  • Carolina, PR
National Provider Identifier
1871729160
Registry record updated Jun 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
Ms 21 Calle 432
Urb. Country Club
Carolina, PR 00982-1849
Phone
(787) 755-6800
NPI assigned
Jun 1, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

Ms 21 Calle 432
Urb. Country Club
Carolina, PR 00982-1849

Mailing address

Ms 21 Calle 432
Urb. Country Club
Carolina, PR 00982-1849

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor of Arts

NPI Registry JSON

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

{
    "created_epoch": "1243814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243814400000",
    "number": "1871729160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MS 21 CALLE 432",
            "address_2": "URB. COUNTRY CLUB",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009821849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MS 21 CALLE 432",
            "address_2": "URB. COUNTRY CLUB",
            "city": "CAROLINA",
            "state": "PR",
            "postal_code": "009821849",
            "telephone_number": "787-755-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON-RIVERA",
        "first_name": "ERIC",
        "middle_name": "OSCAR",
        "name_prefix": "Mr.",
        "credential": "B.A., C.P.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-01",
        "last_updated": "2009-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carolina, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2009; 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.