Ms Sully Rivera, MA - in Palm Bay, FL

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Ms Sully Rivera, MA is a Counselor - Mental Health based in Palm Bay, Florida. Ms Sully Rivera is licensed to practice in Florida (license number IMH27362) and her current practice location is 210 Krassner Dr Nw, Palm Bay, Florida. She can be reached at her office (for appointments etc.) via phone at (787) 504-6247.

NPI number for Ms Sully Rivera is 1164651691 and her current mailing address is 210 Krassner Dr Nw, Palm Bay, Florida. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1164651691.

Contact Information

Ms Sully Rivera, MA
210 Krassner Dr Nw,
Palm Bay, FL 32907-6937
(787) 504-6247
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMs Sully Rivera
GenderFemale
SpecialityCounselor - Mental Health
Location210 Krassner Dr Nw, Palm Bay, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1164651691
  • Provider Enumeration Date: 07/06/2009
  • Last Update Date: 08/20/2025

Medical Identifiers

Medical identifiers for Ms Sully Rivera such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164651691NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist 3347 (Puerto Rico)Secondary
101YM0800XCounselor - Mental Health IMH27362 (Florida)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Sully Rivera is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Sully Rivera, MA
210 Krassner Dr Nw,
Palm Bay, FL 32907-6937

Ph: (787) 504-6247		Ms Sully Rivera, MA
210 Krassner Dr Nw,
Palm Bay, FL 32907-6937

Ph: (787) 504-6247

Reviews and Comments



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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.