Individual provider Active NPI

Tamara Liz Rivera Hyde, LMHC

  • Counselor
  • Rio Rancho, NM
National Provider Identifier
1023555026
Registry record updated Feb 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
T-CTL0207281 Issued in NM
Practice address
1318 Sidewinder Rd NE
Rio Rancho, NM 87144-2587
Phone
(770) 866-4382
NPI assigned
Jan 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Art Therapist 221700000X
Counselor 101Y00000X T-CTL0207281 NM Primary

Addresses

Primary practice location

1318 Sidewinder Rd NE
Rio Rancho, NM 87144-2587

Mailing address

1318 Sidewinder Rd NE
Rio Rancho, NM 87144-2587
Phone (770) 866-4382

Other names 1

  • Tamara Liz Rivera Boria Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.tamaraliz.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
T-CTL0207281NMMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1485475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580688000000",
    "number": "1023555026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1318 SIDEWINDER RD NE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871442587",
            "telephone_number": "770-866-4382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1318 SIDEWINDER RD NE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "871442587",
            "telephone_number": "770-866-4382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA HYDE",
        "first_name": "TAMARA",
        "middle_name": "LIZ",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-27",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NM",
            "license": "T-CTL0207281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.tamaraliz.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "address_1": "1318 Sidewinder Rd NE",
            "city": "Rio Rancho",
            "state": "NM",
            "country_code": "US",
            "postal_code": "871442587",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TAMARA",
            "last_name": "RIVERA BORIA",
            "middle_name": "LIZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rio Rancho, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.