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1932823077 NPI number — MELISSA FRANCES RIVERO LCPC

NPI Number: 1932823077
Health Care Provider/Practitioner: MELISSA FRANCES RIVERO LCPC

Information about “1932823077” NPI (MELISSA FRANCES RIVERO LCPC) exists in 1932823077 in HTML format HTML  |  1932823077 in plain Text format TXT  |  1932823077 in PDF (Portable Document Format) PDF  |  1932823077 in an XML format XML  formats.

NPI Number : 1932823077 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1932823077",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "RIVERO",
    "FirstName": "MELISSA",
    "MiddleName": "FRANCES",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "LCPC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "540 RIVERSIDE DR STE 13",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SALISBURY",
    "MailingAddressStateName": "MD",
    "MailingAddressPostalCode": "21801-5352",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "410-205-9444",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "116 MAIN STREET",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SALISBURY",
    "PracticeLocationAddressStateName": "MD",
    "PracticeLocationAddressPostalCode": "21801",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "410-860-8227",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/03/2022",
    "LastUpdateDate": "05/07/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "101YP2500X",
          "TaxonomyName": "Professional Counselor",
          "LicenseNumber": "LC14647",
          "LicenseNumberStateCode": "MD",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": "LC14647",
          "LicenseNumberStateCode": "MD",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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