Individual provider Active NPI

Christine Lee Rivlin

  • Professional Counselor
  • Los Angeles, CA
National Provider Identifier
1386288165
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
16395 Issued in CA
Practice address
714 W Olympic Blvd Ste 627
Los Angeles, CA 90015-4135
Phone
(925) 250-9236
NPI assigned
Nov 4, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 97074 TX
Professional Counselor 101YP2500X 16395 CA Primary

Addresses

Primary practice location

714 W Olympic Blvd Ste 627
Los Angeles, CA 90015-4135

Mailing address

714 W Olympic Blvd Ste 627
Los Angeles, CA 90015-4135
Phone (925) 250-9236

Other practice location 1

5201 Great America Pkwy Ste 320
Santa Clara, CA 95054-1140
Phone (323) 205-7088

Other practice location 2

600 Congress Ave Fl 14
Austin, TX 78701-3263
Phone (323) 205-7088

Other practice location 3

99 Almaden Blvd Ste 600
San Jose, CA 95113-1605
Phone (408) 402-4385

Other practice location 4

5522 Lone Star Pkwy Ste 303
San Antonio, TX 78253-6722
Phone (855) 460-4111

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL jeongtherapy.co

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260113003016 TX Practitioner - Mental Health Counselor 2769968304 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

17503 La Cantera Pkwy
Suite 104
San Antonio, TX 78257-4000

314 Oak Bend Dr
La Vernia, TX 78121-4502

500 Westover Dr
Sanford, NC 27330-8941

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
97074TXMDProfessional Counselor
16395CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alaniz Counseling and Behavioral Center, P.C. Professional CurrentSince Dec 9, 2025 Accepting new patients
Vcounselors PLLC Professional CurrentSince Dec 9, 2025 Accepting new patients
Oak Bend Therapy, Professional Corporation Professional Current Accepting new patients
Contra Costa Interfaith Transitional Housing PastSince Sep 6, 2020 Accepting new patients

Locations

5522 Lone Star Pkwy
Ste 303
San Antonio, TX 78253
Phone (210) 614-4990

17503 La Cantera Pkwy
Ste 104
San Antonio, TX 78257
Phone (210) 564-9116

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1572825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1386288165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 W OLYMPIC BLVD STE 627",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900154135",
            "telephone_number": "925-250-9236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 W OLYMPIC BLVD STE 627",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900154135",
            "telephone_number": "925-250-9236"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5201 Great America Pkwy Ste 320",
            "address_purpose": "LOCATION",
            "city": "Santa Clara",
            "state": "CA",
            "postal_code": "950541140",
            "country_code": "US",
            "telephone_number": "323-205-7088",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Congress Ave Fl 14",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787013263",
            "country_code": "US",
            "telephone_number": "323-205-7088",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "99 Almaden Blvd Ste 600",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951131605",
            "country_code": "US",
            "telephone_number": "408-402-4385",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5522 Lone Star Pkwy Ste 303",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782536722",
            "country_code": "US",
            "telephone_number": "855-460-4111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVLIN",
        "first_name": "CHRISTINE",
        "middle_name": "LEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-04",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "97074",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "16395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "jeongtherapy.co",
            "affiliation": "N",
            "address_1": "714 W Olympic Blvd Ste 627",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900154135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.