Individual provider Active NPI

Luis Rivera, LMHC, LMFT, CASAC

  • Mental Health Counselor
  • Rockville Centre, NY
National Provider Identifier
1548977879
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
000511 Issued in NY
Practice address
45 N Village Ave Ste 2B
Rockville Centre, NY 11570-4610
Phone
(516) 536-2797
Fax
(516) 536-7771
NPI assigned
Nov 7, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 000511 NY Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 12504 NY
Marriage & Family Therapist 106H00000X 000660 NY

Addresses

Primary practice location

45 N Village Ave Ste 2B
Rockville Centre, NY 11570-4610

Mailing address

45 N Village Ave Ste 2B
Rockville Centre, NY 11570-4610
Phone (516) 536-2797

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20250218002072 NY Practitioner - Mental Health Counselor 7719407998 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12504NYMDAddiction (Substance Use Disorder) Counselor
000660NYMDMarriage & Family Therapist
000511NYMDArt Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
North Village Mental Health Counseling Services, P.C. CurrentSince Jan 30, 2025 Accepting new patients
North Village Counseling & Social Work Addiction (Substance Use Disorder) PastSince Nov 13, 2022 Accepting new patients

Locations

45 N Village Ave
Ste 2B
Rockville Ctr, NY 11570
Phone (516) 536-2797

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.

NPI Registry JSON

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

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1548977879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 N VILLAGE AVE STE 2B",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115704610",
            "telephone_number": "516-536-2797",
            "fax_number": "516-536-7771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 N VILLAGE AVE STE 2B",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115704610",
            "telephone_number": "516-536-2797",
            "fax_number": "516-536-7771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "LUIS",
        "name_prefix": "Mr.",
        "credential": "LMHC, LMFT, CASAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-07",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "000511",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "12504",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "000660",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville Centre, NY

Sources for this page

Verify at the official NPI Registry.