Individual provider Active NPI

Olga Marina Viera, PSY.D., LMHC

  • Mental Health Counselor
  • Orlando, FL
National Provider Identifier
1952491318
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH3152 Issued in FL
Practice address
5448 Hoffner Ave Ste 307
Orlando, FL 32812-2508
Phone
(407) 930-7317
Fax
(407) 850-8142
NPI assigned
Oct 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 MH3152 FL Primary

Addresses

Primary practice location

5448 Hoffner Ave Ste 307
Orlando, FL 32812-2508

Mailing address

5448 Hoffner Ave Ste 307
Orlando, FL 32812-2508
Phone (407) 930-7317

Other practice location 1

5448 Hoffner Avenue
Suite 403
Orlando, FL 32812-2509
Phone (407) 673-2024

Other names 1

  • Dr. Olga Marina Rivera Former name

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH3152FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
New Options and Lifestyles Development Center, Inc. Mental Health Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1952491318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5448 HOFFNER AVE STE 307",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328122508",
            "telephone_number": "407-930-7317",
            "fax_number": "407-850-8142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5448 HOFFNER AVE STE 307",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328122508",
            "telephone_number": "407-930-7317",
            "fax_number": "407-850-8142"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5448 Hoffner Avenue",
            "address_2": "Suite 403",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328122509",
            "country_code": "US",
            "telephone_number": "407-673-2024",
            "fax_number": "407-850-8142",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIERA",
        "first_name": "OLGA",
        "middle_name": "MARINA",
        "name_prefix": "Dr.",
        "credential": "PSY.D., LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH3152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OLGA",
            "last_name": "RIVERA",
            "middle_name": "MARINA",
            "prefix": "DR.",
            "credential": "PSY.D., LMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.