Odette Ojeda Rivera, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.014881 Issued in IL

Practice address

917 W 18TH St Ste 204
Chicago, IL 60608-2400

Phone

(708) 257-1046

NPI assigned

Aug 25, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Avanza Counseling PLLC

  • Professional Counselor
  • Chicago, IL
  • NPI 1972285138
  NPD Authorized official

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

{
    "created_epoch": "1661385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693526400000",
    "number": "1598484289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1926 W 22ND PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606084206",
            "telephone_number": "708-257-1046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 W 18TH ST STE 204",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606082400",
            "telephone_number": "708-257-1046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "ODETTE",
        "middle_name": "OJEDA",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-25",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "IL",
            "license": "178015436",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.014881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Alondra Rivera
• Maria Eugenia Rivera, MD
• Marianna Rivera, MA CCC-SLP
• Max Rivera
• Natalie Paige Rivera, DO
• Oliver Rivera, PT, DPT
• Priscilla Rivera, APRN
• Ricardo Rivera
• Samantha Rivera, MS, LPC, NCC
• Sandra Rivera

• Professional Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.