Healthcare Provider Details

I. General information

NPI: 1295985521
Provider Name (Legal Business Name): REBECCA JO RIVERA LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: REBECCA JO PARKEY

II. Dates (important events)

Enumeration Date: 09/23/2008
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6900 N PECOS RD
NORTH LAS VEGAS NV
89086-4400
US

IV. Provider business mailing address

10630 AGATE KNOLL LN
LAS VEGAS NV
89135-1253
US

V. Phone/Fax

Practice location:
  • Phone: 702-791-9000
  • Fax:
Mailing address:
  • Phone: 816-217-9910
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number2012002386
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number2719-R
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: