Victor M Rivera Sink, MS, LPC

Individual provider Active NPI Mental Health Counselor · Ferrum, VA

NPI 1497352645 · NPPES record last updated Jun 21, 2021

Key facts

NPI
1497352645
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
0701009947 (VA)
Practice address
180 Ferrum Mountain Rd
Ferrum, VA 24088-2939
Phone
(540) 365-4469
Fax
(540) 365-4272
NPI assigned
Oct 1, 2020
Sex
Male
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
0701009947VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Uplift Behavioral Health PC Single Specialty Past Accepting new patients
Shine Medical of Ca PC Single Specialty Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor
Group: 193400000X SINGLE SPECIALTY GROUP
101YM0800X 0701009947 VA Yes

Addresses

Primary practice location

180 Ferrum Mountain Rd
Ferrum, VA 24088-2939

Mailing address

PO Box 519
Ferrum, VA 24088-0519
Phone (540) 365-4469

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL vrivera.ssinc@gmail.com Health Information Exchange (HIE)
CONNECT URL vrivera.ssinc@gmail.com Health Information Exchange (HIE)
CONNECT URL vrivera.ssinc@gmail.com Health Information Exchange (HIE)
CONNECT URL vrivera.ssinc@gmail.com Health Information Exchange (HIE)
CONNECT URL vrivera.ssinc@gmail.com Health Information Exchange (HIE)
Other URL wedonotusethis

Other providers in Ferrum, VA

All providers in Ferrum, VA · Mental Health Counselor in Virginia

Sources for this page

Verify at the official NPI Registry.