DR. AGUSTIN RIVERA M.D; MC; CLERGY NPI 1508226101

NPI Information

NPI: 1508226101
Provider Name: DR. AGUSTIN RIVERA, M.D; MC; CLERGY
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
115 E LANCASTER RD
ORLANDO, FL
ZIP 32809
Phone: (863) 582-9899
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DR. Agustin Rivera, M.D; MC; CLERGY is a mental health counselor in Orlando, FL. DR. Agustin Rivera, M.D; MC; CLERGY NPI is 1508226101. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

115 E LANCASTER RD
ORLANDO, FL
ZIP 32809-689
Phone: (863) 582-9899

The enumeration date for this NPI number is 2/25/2016 and was last updated on 4/2/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	PHM 1453	FLORIDA	Yes
2	101YP1600X	Counselor	Pastoral	1702-002	FLORIDA	No
3	106H00000X	Marriage & Family Therapist		557	PUERTO RICO	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P852 NAADA	OTHER	FLORIDA	PROFESSIONAL CERTIFICATE IN COUNSELING ADDICTIVE DISORDERS AND MENTAL HEALTH
2	COURSE 20-32231	OTHER	FLORIDA	QUALIFIED SUPERVISOR TRAINING
3	CEP 15893	OTHER	CALIFORNIA	SEXUAL ASSAULT FORENSIC EXAMINER TRAINING
4	2543	OTHER	FLORIDA	DIPLOMATE AMERICAN BOARD OF SEXOLOGY
5	802042738	OTHER	FLORIDA	CHILDREN'S FUNCTIONAL ASSESMENT RATING SCALE
6	1001A-1005	OTHER	PUERTO RICO	TRAUMATOLOGY
7	805036272	OTHER	FLORIDA	FUNCTIONAL ASSESSMENT RATING SCALE
8	PHM 1453	OTHER	FLORIDA	MENTAL HEALTH COUNSELOR
9	XXXX	OTHER	PUERTO RICO	MEDICAL DOCTOR
10	MFT 557	OTHER	PUERTO RICO	MARRIAGE AND FAMILY COUNSELING

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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