Active NPI
Braulio Rivera, LPC, CAC III
- Mental Health Counselor
- Aurora, CO
National Provider Identifier
1356778989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC.0012921
- Practice address
- 1290 S Potomac St
Aurora, CO 80012-4524 - Phone
- (303) 555-1212
- NPI assigned
- Sep 27, 2013
- Last updated
- Jul 21, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | ACC.0007003 | CO | |
| Mental Health Counselor | 101YM0800X | LPC.0012921 | CO | Primary |
Addresses
Primary practice location
1290 S Potomac St
Aurora, CO 80012-4524
Mailing address
980 Evanston St
Aurora, CO 80011
Phone (303) 597-2290
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ACC.0007003 | CO | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 1Upwellness PLLC | Professional | Current | Accepting new patients |
| Mental Health Center of Denver | Current | Accepting new patients | |
| Mental Health Center of Denver | Current | Accepting new patients | |
| Mental Health Center of Denver | Current | Accepting new patients |
Locations
3401 Eudora St
Denver, CO 80207
Phone (303) 300-6266
4141 E Dickenson Pl
Denver, CO 80222
Phone (303) 504-6509
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba WellPower
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Denver, CO
- NPI 1396566444
-
- Professional Counselor
- Aurora, CO
- NPI 1013737592
-
dba WellPower
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Denver, CO
- NPI 1407643679
-
dba WellPower
- Mental Illness Community Based Residential Treatment Facility
- Denver, CO
- NPI 1821835562
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1356778989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "980 EVANSTON ST",
"city": "AURORA",
"state": "CO",
"postal_code": "80011",
"telephone_number": "303-597-2290"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1290 S POTOMAC ST",
"city": "AURORA",
"state": "CO",
"postal_code": "800124524",
"telephone_number": "303-555-1212"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "BRAULIO",
"credential": "LPC, CAC III",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-09-27",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CO",
"license": "ACC.0007003",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "LPC.0012921",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.