Active NPI
Juanita Rivera, LMHC
- Mental Health Counselor
- Springfield, MA
National Provider Identifier
1316082191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 3599
- Practice address
- 511 E Columbus Ave
Springfield, MA 01105-2506 - Phone
- (413) 827-8959
- Fax
- (413) 827-7015
- NPI assigned
- Feb 20, 2007
- 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 | 3599 | MA | Primary |
Addresses
Primary practice location
511 E Columbus Ave
Springfield, MA 01105-2506
Mailing address
59 Wing St
Springfield, MA 01151-2017
Phone (413) 827-8959
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3599 | MA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1316082191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "59 WING ST",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011512017",
"telephone_number": "413-827-8959",
"fax_number": "413-827-7015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "511 E COLUMBUS AVE",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011052506",
"telephone_number": "413-827-8959",
"fax_number": "413-827-7015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "JUANITA",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "3599",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.