DR. AGUSTIN RIVERA M.D; MC; CLERGY
NPI 1508226101
Counselor - Mental Health in Orlando, FL

Active since February 25, 2016
115 E LANCASTER RD, ORLANDO, FL 32809(863) 582-9899 Get Directions Write a Review

NPPES record last updated: April 2, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 2, 2019, Oct 17, 2017, Feb 26, 2017 and 1 more (4 updates tracked since 2016).

About Dr. Agustin Rivera M.d; Mc; Clergy NPPES

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

DR. AGUSTIN RIVERA M.D; MC; CLERGY (NPI 1508226101) is an individual mental health provider in Orlando, Florida, licensed in Florida (PHM 1453) and active in the NPI registry since February 2016. He maintains a secondary practice location in Davenport.

NPPES Registry Identity

NPI1508226101
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameDR. AGUSTIN RIVERACredential: M.D; MC; CLERGY
Location Address115 E LANCASTER RDOrlando, FL 32809-6689
Mailing Address17906 Woodcrest WayClermont, FL 34714-5906 · (863) 420-9899
Sole ProprietorYes
Enumeration DateFebruary 25, 2016
Last NPPES UpdateApril 2, 20194 updates tracked since enumeration
NPI 1508226101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in FL · PHM 1453
Also ListedCounselor · PastoralTaxonomy 101YP1600X · License 1702-002 (FL)
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 557 (PR)
115 E LANCASTER RD, Orlando, FL 32809

Secondary Practice Location 1

Location 1115 Lake Davenport Blvd Ste CDavenport, FL 33897-9405 · Phone (863) 420-9899

Other Identifiers 10

OtherP852 NAADAFL · Professional Certificate In Counseling Addictive Disorders And Mental Health
OtherCOURSE 20-32231FL · Qualified Supervisor Training
OtherCEP 15893CA · Sexual Assault Forensic Examiner Training
Other2543FL · Diplomate American Board Of Sexology
Other802042738FL · Children's Functional Assesment Rating Scale
Other1001A-1005PR · Traumatology
Other805036272FL · Functional Assessment Rating Scale
OtherPHM 1453FL · Mental Health Counselor
OtherXXXXPR · Medical Doctor
OtherMFT 557PR · Marriage And Family Counseling

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

General Practice
115 E LANCASTER RD
ORLANDO, FL 32809
Chiropractor
115 E LANCASTER RD, STE. B
ORLANDO, FL 32809
General Practice
115 E LANCASTER RD
ORLANDO, FL 32809
General Practice
115 E LANCASTER RD
ORLANDO, FL 32809
Case Manager/Care Coordinator
115 E LANCASTER RD
ORLANDO, FL 32809
Chiropractor
115 E LANCASTER RD
ORLANDO, FL 32809
Nurse Practitioner (Psychiatric/Mental Health)
115 E LANCASTER RD
ORLANDO, FL 32809

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Agustin Rivera's NPI number?

The NPI number for Agustin Rivera is 1508226101. It was assigned to this individual provider in the NPPES registry on February 25, 2016.

Where is Agustin Rivera located?

Agustin Rivera practices at 115 E Lancaster Rd, Orlando, FL 32809. The listed phone number is (863) 582-9899.

What is Agustin Rivera's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Agustin Rivera was last updated on April 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.