Individual provider Active NPI

Victoria Rivera, LSW

  • Mental Health Counselor
  • Edison, NJ
National Provider Identifier
1093428690
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
44SL06876600 Issued in NJ
Practice address
100 Metroplex Dr Ste 100
Edison, NJ 08817-2684
Phone
(732) 474-7733
NPI assigned
Dec 29, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 44SL06876600 NJ Primary

Addresses

Primary practice location

100 Metroplex Dr Ste 100
Edison, NJ 08817-2684

Mailing address

671 Hoes LN W
Piscataway, NJ 08854-8021

Other practice location 1

795 Woodlane Rd
Westampton, NJ 08060-3832
Phone (609) 288-3068

Other practice location 2

1289 Route 38 Ste 102
Hainesport, NJ 08036-2730
Phone (609) 288-3068

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
44SL06876600NJMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Union Association of the Children'S Home of Burlington County, Inc. PastSince Mar 31, 2024 Accepting new patients

Organizations & group practices 1

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": "1672272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1093428690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "671 HOES LN W",
            "city": "PISCATAWAY",
            "state": "NJ",
            "postal_code": "088548021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 METROPLEX DR STE 100",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088172684",
            "telephone_number": "732-474-7733"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "795 Woodlane Rd",
            "address_purpose": "LOCATION",
            "city": "Westampton",
            "state": "NJ",
            "postal_code": "080603832",
            "country_code": "US",
            "telephone_number": "609-288-3068",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1289 Route 38 Ste 102",
            "address_purpose": "LOCATION",
            "city": "Hainesport",
            "state": "NJ",
            "postal_code": "080362730",
            "country_code": "US",
            "telephone_number": "609-288-3068",
            "fax_number": "609-261-9516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "VICTORIA",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-29",
        "last_updated": "2025-09-11",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "44SL06876600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.