Individual provider Active NPI

Sandra Leigh Rivera, LMFT

  • Marriage & Family Therapist
  • Rio Rancho, NM
National Provider Identifier
1174760854
Registry record updated Jun 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
0155551 Issued in NM
Practice address
2441 Cabezon Blvd SE
Rio Rancho, NM 87124
Phone
(505) 717-1155
Fax
(505) 717-1473
NPI assigned
Jan 16, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 0155551 NM Primary

Addresses

Primary practice location

2441 Cabezon Blvd SE
Rio Rancho, NM 87124

Mailing address

2441 Cabezon Blvd SE
Rio Rancho, NM 87124
Phone (505) 717-1155

Other identifiers 1

IdentifierTypeStateIssuer
39882055MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20250521003713 NM Practitioner - Marriage and Family Therapist 2668991779 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Family Connection LLCGroup PAC ID 0941647085, 7 clinicians

Practice addresses (Care Compare)

6001 Whiteman Dr NW
Albuquerque, NM 87120-2196
Phone (505) 717-1155

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0155551NMMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Family Connection LLC CurrentSince May 16, 2025 Accepting new patients

Locations

6001 Whiteman Dr NW
Albuquerque, NM 87120
Phone 50571711552120

2441 Cabezon Blvd SE
Rio Rancho, NM 87124
Phone 5057171155 ext. 111

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": "1232064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1498694400000",
    "number": "1174760854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2441 CABEZON BLVD SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "87124",
            "telephone_number": "505-717-1155",
            "fax_number": "505-717-1473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2441 CABEZON BLVD SE",
            "city": "RIO RANCHO",
            "state": "NM",
            "postal_code": "87124",
            "telephone_number": "505-717-1155",
            "fax_number": "505-717-1473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "SANDRA",
        "middle_name": "LEIGH",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-16",
        "last_updated": "2017-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NM",
            "license": "0155551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39882055",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Rancho, NM

Sources for this page

Verify at the official NPI Registry.