Individual provider Active NPI

Elia Rivera, LADC, PLMHP

  • Mental Health Counselor
  • Grand Island, NE
National Provider Identifier
1194177386
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
5147 Issued in NE
Practice address
312 N Elm St Ste 112
Grand Island, NE 68801
Phone
(308) 383-2208
NPI assigned
Jul 12, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 20, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 5147 NE Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1244 NE

Addresses

Primary practice location

312 N Elm St Ste 112
Grand Island, NE 68801

Mailing address

312 N Elm St Ste 112
Grand Island, NE 68801-4509
Phone (308) 383-2208

Other practice location 1

513 North Grant 4B
4B
Lexington, NE 68850
Phone (308) 383-2208

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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
I20240206002449 NE Practitioner - Mental Health Counselor 7618310749 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5147NEMDMental Health Counselor
1244NEMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Nebraska Peace of Mind Behavioral Health Mental Health CurrentSince Mar 1, 2025 Accepting new patients
Alivation Health, LLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

8550 Cuthills Cir
Lincoln, NE 68526
Phone (402) 476-5686

8550 Cuthills Cir
Ste 100
Lincoln, NE 68526

Organizations & group practices 3

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": "1468281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529452800000",
    "number": "1194177386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 N ELM ST STE 112",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "688014509",
            "telephone_number": "308-383-2208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 N ELM ST STE 112",
            "city": "GRAND ISLAND",
            "state": "NE",
            "postal_code": "68801",
            "telephone_number": "308-383-2208"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "513 North Grant 4B",
            "address_2": "4B",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "NE",
            "postal_code": "68850",
            "country_code": "US",
            "telephone_number": "308-383-2208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "ELIA",
        "credential": "LADC, PLMHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-12",
        "last_updated": "2018-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "5147",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "1244",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Island, NE

Sources for this page

Verify at the official NPI Registry.