Maria Jesus Rivera, COUNSELOR

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6401017116 Issued in MI

Practice address

6100 Newport Rd Ste 222
Portage, MI 49002-9235

Phone

(269) 488-5929

Fax

(833) 599-7700

NPI assigned

Jan 17, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

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.

• MJR Wellness Counseling, PLLC

  • Adult Mental Health Clinic/Center
  • South Haven, MI
  • NPI 1548936214
  Medicare reassignment Authorized official
• Joy Unlimited Counseling Center, PLC

  • Clinical Social Worker
  • Portage, MI
  • NPI 1164925269
  NPD (past)

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

{
    "created_epoch": "1484611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551657600000",
    "number": "1457897399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6687 SEECO DR",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490095970",
            "telephone_number": "269-568-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 NEWPORT RD STE 222",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490029235",
            "telephone_number": "269-488-5929",
            "fax_number": "833-599-7700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Fairway Dr",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "Deerfield Beach",
            "state": "FL",
            "postal_code": "334411814",
            "country_code": "US",
            "telephone_number": "888-880-9270",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "919 E Michigan Ave",
            "address_purpose": "LOCATION",
            "city": "Paw Paw",
            "state": "MI",
            "postal_code": "490799488",
            "country_code": "US",
            "telephone_number": "269-568-2455",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6687 Seeco Dr",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "490095970",
            "country_code": "US",
            "telephone_number": "269-568-2455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "MARIA",
        "middle_name": "JESUS",
        "credential": "COUNSELOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-17",
        "last_updated": "2019-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401017116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rite Aid of Michigan Inc (RITE AID Pharmacy 01822)
• David Ritzenthaler, PT
• Amanda Marie Ritzer, PA-C
• River of Life Counseling LLC
• Joanna A Rivera, MSW, LCSW
• Jessica Eloise Robb, LMSW
• Chantelle Marie Robbe, LMSW
• Robert J. Sheppard PHD PLLC
• Emily Elizabeth Roberts
• Harold Robinson

• Professional Counselor in Portage, MI
• Providers in Portage, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; 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.

Verify at the official NPI Registry.