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IVAN FIELDS
NPI 1255880654
Counselor in Riverdale, GA

Active since September 26, 2016
7109 GREYSTONE DR, RIVERDALE, GA 30296(202) 427-2264 Get Directions Write a Review

NPPES record last updated: September 26, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ivan Fields NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IVAN FIELDS (NPI 1255880654) is an individual counselor in Riverdale, Georgia and active in the NPI registry since September 2016.

NPPES Registry Identity

NPI1255880654
Entity TypeIndividualMale
Primary Taxonomy101Y00000X
Provider Legal NameIVAN FIELDS
Location Address7109 GREYSTONE DRRiverdale, GA 30296-2256
Mailing Address7109 Greystone DrRiverdale, GA 30296-2256 · (202) 427-2264
Phone(202) 427-2264
Sole ProprietorYes
Enumeration DateSeptember 26, 2016
✔ NPI 1255880654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

7109 GREYSTONE DR, Riverdale, GA 30296
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Frequently Asked Questions

What is Ivan Fields's NPI number?

The NPI number assigned to this healthcare provider is 1255880654, enumerated as an "individual" on September 26, 2016.

Where is the provider located?

The provider is located at 7109 GREYSTONE DR RIVERDALE, GA 30296 and the phone number is (202) 427-2264.

What is the provider's specialty?

Counselor with taxonomy code 101Y00000X.