Active NPI
Gerardo Rivera Jr., MA, LCCA, LPC
- Counselor
- Baytown, TX
National Provider Identifier
1306555370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 78580
- Practice address
- 4222 Copper CRK
Baytown, TX 77521-3084 - Phone
- (346) 710-5557
- NPI assigned
- Nov 18, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 78580 | TX | Primary |
Addresses
Primary practice location
4222 Copper CRK
Baytown, TX 77521-3084
Mailing address
4222 Copper CRK
Baytown, TX 77521-3084
Phone (346) 710-5557
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
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 78580 | TX | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668729600000",
"number": "1306555370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4222 COPPER CRK",
"city": "BAYTOWN",
"state": "TX",
"postal_code": "775213084",
"telephone_number": "346-710-5557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4222 COPPER CRK",
"city": "BAYTOWN",
"state": "TX",
"postal_code": "775213084",
"telephone_number": "346-710-5557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "GERARDO",
"name_suffix": "Jr.",
"credential": "MA, LCCA, LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-11-18",
"last_updated": "2022-11-18",
"certification_date": "2022-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "78580",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baytown, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.