Individual provider Active NPI

Andres I Rivera

  • Counselor
  • Chicago, IL
National Provider Identifier
1225516933
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
1225516933 Issued in IL
Practice address
2732 N Clark St Ste 300
Chicago, IL 60614-1553
Phone
(773) 250-1769
Fax
(773) 250-1769
NPI assigned
Aug 3, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1225516933 IL
Counselor 101Y00000X 1225516933 IL Primary

Addresses

Primary practice location

2732 N Clark St Ste 300
Chicago, IL 60614-1553

Mailing address

2732 N Clark St Ste 300
Chicago, IL 60614-1553
Phone (773) 250-1769

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
1225516933ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Arcus Behavioral Health and Wellness Clinical CurrentSince Jun 15, 2025 Accepting new patients

Locations

2732 N Clark St
Ste 300
Chicago, IL 60614
Phone (773) 250-1769

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": "1533254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1225516933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2732 N CLARK ST STE 300",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141553",
            "telephone_number": "773-250-1769",
            "fax_number": "773-250-1769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2732 N CLARK ST STE 300",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141553",
            "telephone_number": "773-250-1769",
            "fax_number": "773-250-1769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "ANDRES",
        "middle_name": "I",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-03",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "1225516933",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "1225516933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.