Bridgett Rivera, LPCC-S, LICDC is a
Counselor - Professional based in Sycamore, Ohio. Bridgett Rivera is licensed to practice in Ohio (license number E.2001602-SUPV) and her current practice location is
202 East Saffle Avenue, Sycamore, Ohio. She can be reached at her office (for appointments etc.) via phone at
(419) 934-2214.
NPI number for Bridgett Rivera is 1780042374 and her current mailing address is Po Box 362, Sycamore, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1780042374.
Healthcare Provider's Profile
| Full Name | Bridgett Rivera |
|---|
| Gender | Female |
|---|
| Speciality | Counselor - Professional |
|---|
| Location | 202 East Saffle Avenue, Sycamore, Ohio |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1780042374
- Provider Enumeration Date: 02/10/2016
- Last Update Date: 09/12/2023
Medical Identifiers
Medical identifiers for Bridgett Rivera such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1780042374 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | C1400098 (Ohio) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 111130 (Ohio) | Secondary |
| 101YP2500X | Counselor - Professional | E.2001602-SUPV (Ohio) | 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. Bridgett 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 Address | Practice Location Address |
|---|
Bridgett Rivera, LPCC-S, LICDC
Po Box 362,
Sycamore, OH 44882-0362
Ph: (419) 721-1810 | Bridgett Rivera, LPCC-S, LICDC
202 East Saffle Avenue,
Sycamore, OH 44882-0362
Ph: (419) 934-2214 |
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