Active NPI
Patricia Rivas
- Counselor
- Clarksburg, MD
National Provider Identifier
1588317317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 19228
- Practice address
- 11617 Emerald Green Dr
Clarksburg, MD 20871-5337 - Phone
- (240) 635-9429
- NPI assigned
- Feb 1, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 19228 | MD | Primary |
Addresses
Primary practice location
11617 Emerald Green Dr
Clarksburg, MD 20871-5337
Mailing address
11617 Emerald Green Dr
Clarksburg, MD 20871-5337
Phone (240) 635-9429
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | patricia@mynhcounseling.com | Direct |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19228 | MD | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643673600000",
"number": "1588317317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11617 EMERALD GREEN DR",
"city": "CLARKSBURG",
"state": "MD",
"postal_code": "208715337",
"telephone_number": "240-635-9429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11617 EMERALD GREEN DR",
"city": "CLARKSBURG",
"state": "MD",
"postal_code": "208715337",
"telephone_number": "240-635-9429"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVAS",
"first_name": "PATRICIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-01",
"last_updated": "2022-02-01",
"certification_date": "2022-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MD",
"license": "19228",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "patricia@mynhcounseling.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "11617 Emerald Green Dr",
"city": "Clarksburg",
"state": "MD",
"country_code": "US",
"postal_code": "208715337",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Clarksburg, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.