Active NPI
Maria Teresa Rivera Garcia, PHD, MSC, QMHP
- Mental Health Counselor
- Portland, OR
National Provider Identifier
1194471128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 22-QMHP-R-1115
- Practice address
- 6912 N Armour St
Portland, OR 97203-6116 - Phone
- (484) 500-5882
- NPI assigned
- Feb 28, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 22-QMHP-R-1115 | OR | Primary |
Addresses
Primary practice location
6912 N Armour St
Portland, OR 97203-6116
Mailing address
6912 N Armour St
Portland, OR 97203-6116
Phone (484) 500-5882
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | one@avillageforone.org | A Village for One |
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22-QMHP-R-1115 | OR | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Village for One | Past | 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.
-
- Community/Behavioral Health Agency
- Oregon City, OR
- NPI 1467836817
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647475200000",
"number": "1194471128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6912 N ARMOUR ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972036116",
"telephone_number": "484-500-5882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6912 N ARMOUR ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972036116",
"telephone_number": "484-500-5882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA GARCIA",
"first_name": "MARIA",
"middle_name": "TERESA",
"credential": "PHD, MSC, QMHP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-28",
"last_updated": "2022-03-17",
"certification_date": "2022-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "22-QMHP-R-1115",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "one@avillageforone.org",
"affiliation": "Y",
"affiliationName": "A Village for One",
"address_1": "110 Wamer Milne Rd",
"city": "Oregon City",
"state": "OR",
"country_code": "US",
"postal_code": "97045",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.