Individual provider Active NPI

Lindsy Rivera

  • Counselor
  • Brecksville, OH
National Provider Identifier
1619329620
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
E.1901279 Issued in OH
Practice address
7650 Chippewa Rd Ste 205
Brecksville, OH 44141-2300
Phone
(440) 589-7855
Fax
(440) 643-2180
NPI assigned
Jul 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X E.1901279 OH Primary
Social Worker 104100000X S1200837 OH

Addresses

Primary practice location

7650 Chippewa Rd Ste 205
Brecksville, OH 44141-2300

Mailing address

4806 Stockbridge Dr
Medina, OH 44256-6347
Phone (440) 465-1524

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20240105002969 OH Practitioner - Mental Health Counselor 4789035528 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

340 S Broadway St
Akron, OH 44308-1529
Phone (330) 253-3100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E.1901279OHMDCounselor
S1200837OHMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Creative Attunement LLC Counselor CurrentSince Dec 7, 2025 Accepting new patients
Healing Pathways Cleveland, LLC CurrentSince Jan 1, 2024 Accepting new patients
Portage Path Community Mental Health Center CurrentSince Aug 18, 2025 Accepting new patients
Imagining the Garden LLC PastSince Sep 1, 2019 Accepting new patients

Locations

340 S Broadway St
Akron, OH 44308
Phone (330) 253-3100

30701 Lorain Rd
Ste A
North Olmsted, OH 44070

22255 Center Ridge Rd
Ste 200
Rocky River, OH 44116
Phone (216) 563-1661

22255 Center Ridge Rd
Ste 300
Rocky River, OH 44116
Phone (216) 563-1661

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1467331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1619329620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4806 STOCKBRIDGE DR",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442566347",
            "telephone_number": "440-465-1524",
            "fax_number": "440-643-2180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7650 CHIPPEWA RD STE 205",
            "city": "BRECKSVILLE",
            "state": "OH",
            "postal_code": "441412300",
            "telephone_number": "440-589-7855",
            "fax_number": "440-643-2180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "LINDSY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-01",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "E.1901279",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S1200837",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brecksville, OH

Sources for this page

Verify at the official NPI Registry.