MEDICARE: MELINDA ANNE RIVERA LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	10457	OK
2	106H00000X	Marriage & Family Therapist	10457	OK

General Provider Information

NPI Number	:	1659823862
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELINDA ANNE RIVERA LMFT

Provider Business Mailing Address
First Line	:	225 SE MORNINGSIDE AVE
Second Line	:
City	:	BARTLESVILLE
State	:	OK
Zip	:	74006-2210
Country	:	US
Telephone Number	:	918-221-7207
Fax Number	:

Provider Business Practice Location Address
First Line	:	225 SE MORNINGSIDE AVE
Second Line	:
City	:	BARTLESVILLE
State	:	OK
Zip	:	74006-2210
Country	:	US
Telephone Number	:	918-221-7207
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/04/2016
Last Update Date	:	04/13/2026

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