Active NPI
Penny R Rivera, MA
- Professional Counselor
- Mesa, AZ
National Provider Identifier
1427282946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC 15213
- Practice address
- 1830 S Alma School Rd.
Suite 112
Mesa, AZ 85210 - Phone
- (480) 730-6222
- Fax
- (480) 889-5566
- NPI assigned
- May 12, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC 15213 | AZ | Primary |
| Marriage & Family Therapist | 106H00000X | LPC 15213 | AZ |
Addresses
Primary practice location
1830 S Alma School Rd.
Suite 112
Mesa, AZ 85210
Mailing address
1830 S Alma School Rd
Suite 112
Mesa, AZ 85210-3056
Phone (480) 730-6222
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 |
|---|---|---|---|
| LPC 15213 | AZ | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Professional Counseling Associates, LLC | Professional | Past | Accepting new patients |
| Arizona Psychology Consultants, Inc. | Professional | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Marriage & Family Therapist
- Mesa, AZ
- NPI 1568581031
Professional
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242086400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493251200000",
"number": "1427282946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1830 S ALMA SCHOOL RD",
"address_2": "SUITE 112",
"city": "MESA",
"state": "AZ",
"postal_code": "852103056",
"telephone_number": "480-730-6222",
"fax_number": "480-889-5566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1830 S ALMA SCHOOL RD.",
"address_2": "SUITE 112",
"city": "MESA",
"state": "AZ",
"postal_code": "85210",
"telephone_number": "480-730-6222",
"fax_number": "480-889-5566"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "PENNY",
"middle_name": "R",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-12",
"last_updated": "2017-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AZ",
"license": "LPC 15213",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "AZ",
"license": "LPC 15213",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.