Individual provider Active NPI

Anisleidys Rivero, LPC

  • Professional Counselor
  • Houston, TX
National Provider Identifier
1003449281
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
83297 Issued in TX
Practice address
10711 Kipp Way Dr
Houston, TX 77099-2675
Phone
(832) 548-5000
Fax
(713) 351-7361
NPI assigned
Feb 17, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 83297 TX Primary
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

10711 Kipp Way Dr
Houston, TX 77099-2675

Mailing address

PO Box 66308
Houston, TX 77266-6308

Other practice location 1

9401 Southwest Fwy
Houston, TX 77074-1407
Phone (713) 970-7000

Other identifiers 1

IdentifierTypeStateIssuer
83297OtherTXTX STATE BOARD OF EXAMNERS OF PROFESSIONAL COUNSELORS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240301000461 TX Practitioner - Mental Health Counselor 8820433790 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Harris Center for Mental Health and IddGroup PAC ID 9739088790, 122 clinicians

Practice addresses (Care Compare)

9401 Southwest Fwy
Houston, TX 77074-1407
Phone (713) 970-7000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
83297TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Harris Center for Mental Health and Idd CurrentSince Jan 20, 2024 Accepting new patients
Renewing Hope Counseling, LLC Mental Health PastSince Nov 1, 2025 Accepting new patients
Innova Mind and Body PastSince Sep 1, 2023 Accepting new patients

Locations

9401 Southwest Fwy
Houston, TX 77074
Phone (713) 970-3344

1502 Taub Loop
Houston, TX 77030
Phone (713) 873-4900

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1581897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1003449281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 66308",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772666308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10711 KIPP WAY DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770992675",
            "telephone_number": "832-548-5000",
            "fax_number": "713-351-7361"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9401 Southwest Fwy",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770741407",
            "country_code": "US",
            "telephone_number": "713-970-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERO",
        "first_name": "ANISLEIDYS",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-17",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "83297",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX STATE BOARD OF EXAMNERS OF PROFESSIONAL COUNSELORS",
            "identifier": "83297",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.