Active NPI
Emonie Lolice Reviere
- Mental Health Counselor
- High Point, NC
National Provider Identifier
1992457774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- A19945
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| A19945 | NC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Breaking Cycles Counseling PLLC | Mental Health | Current | 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.