Individual provider Active NPI

Maria Teresa Rivera Garcia, PHD, MSC, QMHP

  • Mental Health Counselor
  • Portland, OR
National Provider Identifier
1194471128
Registry record updated Mar 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
22-QMHP-R-1115 Issued in OR
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

Updated by the provider on Mar 17, 2022

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 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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
22-QMHP-R-1115ORMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
A Village for One PastSince May 1, 2020 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": "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.

Verify at the official NPI Registry.