Patricia Maria De la Rivaherrera

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LH60945586 Issued in WA

Practice address

13037 NE Bel Red Rd Ste 102
Bellevue, WA 98005-2618

Phone

(425) 502-9945

Fax

(855) 212-5682

NPI assigned

Dec 5, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Evergreen at Northpoint LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Seattle, WA
  • NPI 1942735667
  NPD (past)
• Northpoint Washington LLC

  • Substance Abuse Rehabilitation Facility
  • Edmonds, WA
  • NPI 1891292900
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1575504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575504000000",
    "number": "1386281558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 S TOPAZ WAY",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836424474",
            "telephone_number": "208-810-2695",
            "fax_number": "208-898-3365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13037 NE BEL RED RD STE 102",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052618",
            "telephone_number": "425-502-9945",
            "fax_number": "855-212-5682"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2111 N Northgate Way Ste 101",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981339018",
            "country_code": "US",
            "telephone_number": "206-309-3740",
            "fax_number": "855-212-5682",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7416 212th St SW",
            "address_purpose": "LOCATION",
            "city": "Edmonds",
            "state": "WA",
            "postal_code": "980267609",
            "country_code": "US",
            "telephone_number": "425-245-5800",
            "fax_number": "855-212-5682",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE LA RIVAHERRERA",
        "first_name": "PATRICIA",
        "middle_name": "MARIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-05",
        "last_updated": "2019-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60945586",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "LH60945586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hasan Dbouk, DDS
• DBT Eastside
• Angelica De Anda, LMHC, CMHS
• Maria De Costa, LSWAIC
• Jennifer J De Jong, CCC-SLP
• Abraham John De Leon, BS
• Alyzah Anastasia De Lisle-Todd
• Ana K De Los Rios
• Niki De Sario, LMP
• Marta De Wulf, NUTRITIONIST, BS

• Addiction (Substance Use Disorder) Counselor in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Addiction (Substance Use Disorder) Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2019; 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.