Active NPI
Nancy A Rivera, LPC
- Professional Counselor
- Edinburg, TX
National Provider Identifier
1629328893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 66616
- Practice address
- 1901 S 24TH Ave
Edinburg, TX 78539-6533 - Phone
- (956) 289-7000
- Fax
- (956) 289-7257
- NPI assigned
- Sep 14, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 66616 | TX | Primary |
Addresses
Primary practice location
1901 S 24TH Ave
Edinburg, TX 78539-6533
Mailing address
1901 S 24TH Ave
Edinburg, TX 78539-6533
Phone (956) 289-7000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 138708613 | Medicaid | TX | |
| OOR945 | Other | TX | MEDICARE |
| 138708611 | Medicaid | TX |
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 |
|---|---|---|---|
| 66616 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1347580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347580800000",
"number": "1629328893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 S 24TH AVE",
"city": "EDINBURG",
"state": "TX",
"postal_code": "785396533",
"telephone_number": "956-289-7000",
"fax_number": "956-289-7257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 S 24TH AVE",
"city": "EDINBURG",
"state": "TX",
"postal_code": "785396533",
"telephone_number": "956-289-7000",
"fax_number": "956-289-7257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "NANCY",
"middle_name": "A",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-14",
"last_updated": "2012-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "66616",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "138708613",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "OOR945",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "138708611",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Edinburg, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.