Lisa Rivera, MA, LPC, LAC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LPC0011444 Issued in CO

Practice address

1225 Ken Pratt Blvd
Ste. 200
Longmont, CO 80501-6518

Phone

(303) 772-3382

NPI assigned

Oct 21, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Lalo Rivera Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1445385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445385600000",
    "number": "1033581749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 KEN PRATT BLVD",
            "address_2": "STE. 200",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805016518",
            "telephone_number": "303-772-3382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 KEN PRATT BLVD",
            "address_2": "STE. 200",
            "city": "LONGMONT",
            "state": "CO",
            "postal_code": "805016518",
            "telephone_number": "303-772-3382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "LISA",
        "credential": "MA, LPC, LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-21",
        "last_updated": "2015-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CO",
            "license": "LPC0011444",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACD0000527",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LALO",
            "last_name": "RIVERA",
            "credential": "MA, LPC, LAC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Gilda Olivia Rios, PH.D.
• Ryan J Ritchhart, PA-C
• Anita R. Ritenour, MD
• Luis David Rivera Soto, PA-C
• Ginger Rivera, MSW
• Nicholas Rivera, MT
• August Rivers, LMT
• Joanne R Rizzi, PHARMD
• Joann Roach, CASE MANAGER
• Susan I Roach, MD

• Counselor in Longmont, CO
• Providers in Longmont, CO by specialty
• Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2015; 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.