Individual provider Active NPI

Emonie Lolice Reviere

  • Mental Health Counselor
  • High Point, NC
National Provider Identifier
1992457774
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A19945 Issued in NC
Practice address
1912 Eastchester Dr Ste 202a
High Point, NC 27265-3505
Phone
(336) 252-2711
NPI assigned
Jan 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A19945 NC Primary
Counselor 101Y00000X

Addresses

Primary practice location

1912 Eastchester Dr Ste 202a
High Point, NC 27265-3505

Mailing address

1912 Eastchester Dr Ste 202a
High Point, NC 27265-3505
Phone (336) 252-2711

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

State licenses

LicenseStateTypeSpecialty
A19945NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Breaking Cycles Counseling PLLC Mental Health CurrentSince May 26, 2024 Accepting new patients

Locations

1912 Eastchester Dr
Ste 202A
High Point, NC 27265
Phone (336) 252-2711

725 W Main St
Ste B
Jamestown, NC 27282
Phone (336) 252-2711

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1642809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1992457774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1912 EASTCHESTER DR STE 202A",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272653505",
            "telephone_number": "336-252-2711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1912 EASTCHESTER DR STE 202A",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272653505",
            "telephone_number": "336-252-2711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REVIERE",
        "first_name": "EMONIE",
        "middle_name": "LOLICE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-22",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A19945",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2024; 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.