Individual provider Active NPI

Dea Rae Rivera, M.F.T.

  • Marriage & Family Therapist
  • Camarillo, CA
National Provider Identifier
1992967533
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC39066 Issued in CA
Practice address
1601 Carmen Dr
Suite 111
Camarillo, CA 93010-3105
Phone
(805) 987-7006
NPI assigned
Jun 25, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Counselor 101YS0200X CA
Marriage & Family Therapist 106H00000X MFC39066 CA Primary

Addresses

Primary practice location

1601 Carmen Dr
Suite 111
Camarillo, CA 93010-3105

Mailing address

1601 Carmen Dr
Suite 111
Camarillo, CA 93010-3105
Phone (805) 987-7006

Other names 1

  • Dea Rae Pierce 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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MFC39066CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214352000000",
    "number": "1992967533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 CARMEN DR",
            "address_2": "SUITE 111",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930103105",
            "telephone_number": "805-987-7006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 CARMEN DR",
            "address_2": "SUITE 111",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930103105",
            "telephone_number": "805-987-7006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "DEA",
        "middle_name": "RAE",
        "name_prefix": "Ms.",
        "credential": "M.F.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-25",
        "last_updated": "2008-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC39066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEA",
            "last_name": "PIERCE",
            "middle_name": "RAE",
            "credential": "M.F.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Camarillo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.