Active NPI
Rivergate Family Resource Center, LLC.
- Mental Health Counselor
- Tamarac, FL
National Provider Identifier
1982102646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- RIVERGATE FAMILY RESOURCE CENTER, LLC.
- Practice address
- 7481 W Oakland Park Blvd Ste 308D
Tamarac, FL 33319-4961 - Phone
- (754) 400-5407
- NPI assigned
- Jan 29, 2018
- Last updated
- Jan 29, 2018
- 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
- Kyriaki Roberts
- Title
- Provider
- Phone
- (754) 400-5407
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
7481 W Oakland Park Blvd Ste 308D
Tamarac, FL 33319-4961
Mailing address
7481 W Oakland Park Blvd Ste 308D
Tamarac, FL 33319-4961
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Professional Counselor
- Tamarac, FL
- NPI 1932614591
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517184000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1517184000000",
"number": "1982102646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7481 W OAKLAND PARK BLVD STE 308D",
"city": "TAMARAC",
"state": "FL",
"postal_code": "333194961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7481 W OAKLAND PARK BLVD STE 308D",
"city": "TAMARAC",
"state": "FL",
"postal_code": "333194961",
"telephone_number": "754-400-5407"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVERGATE FAMILY RESOURCE CENTER, LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2018-01-29",
"last_updated": "2018-01-29",
"status": "A",
"authorized_official_last_name": "ROBERTS",
"authorized_official_first_name": "KYRIAKI",
"authorized_official_title_or_position": "PROVIDER",
"authorized_official_telephone_number": "754-400-5407"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tamarac, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.