Kimberly Oscanoa Rivera, LPC, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

37PC01008800 Issued in NJ

Practice address

9 Lee Ave
Haledon, NJ 07508-1224

Phone

(862) 237-2267

NPI assigned

Feb 27, 2024

Last updated

Feb 27, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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

Specialty

Mental Health Counselor

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Aurora Sun Counseling, LLC

  • Mental Health Counselor
  • Mount Royal, NJ
  • NPI 1114613106
  Medicare reassignment NPD

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

{
    "created_epoch": "1708992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1033975040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 LEE AVE",
            "city": "HALEDON",
            "state": "NJ",
            "postal_code": "075081224",
            "telephone_number": "862-237-2267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 LEE AVE",
            "city": "HALEDON",
            "state": "NJ",
            "postal_code": "075081224",
            "telephone_number": "862-237-2267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "KIMBERLY",
        "middle_name": "OSCANOA",
        "name_prefix": "Mrs.",
        "credential": "LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-27",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC01008800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Progressive Optics Inc. (Haledon Opticians)
• Pulmonary and Critical Care Associates of New Jersey
• Ready to Deploy
• Sara Rettig, LCADC, LSW
• Rite Aid of New Jersey Inc (Rite Aid Pharmacy 01970)
• Marina Sadykov
• Maha M Sayeed
• David Henry Schwartz, DMD
• Lucy Soliman
• Laura Sulovari, DMD

• Mental Health Counselor in Haledon, NJ
• Providers in Haledon, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.