Individual provider Active NPI

Yelinee M Guzman Rivera

  • Mental Health Counselor
  • West Orange, NJ
National Provider Identifier
1639858533
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
659 Eagle Rock Ave Ste 4
West Orange, NJ 07052-2138
Phone
(888) 284-2034
NPI assigned
Jul 17, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NJ Primary

Addresses

Primary practice location

659 Eagle Rock Ave Ste 4
West Orange, NJ 07052-2138

Mailing address

659 Eagle Rock Ave Ste 4
West Orange, NJ 07052-2138
Phone (888) 284-2034

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20250807003818 NJ Practitioner - Marriage and Family Therapist 4981102142 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Keith Golin PHD LLC CurrentSince Jul 1, 2025 Accepting new patients
Keith Golin PHD LLC CurrentSince Jul 1, 2025 Accepting new patients

Locations

22 Old Short Hills Rd
Ste 216
Livingston, NJ 07039
Phone (973) 994-3145

659 Eagle Rock Ave
Ste 4
West Orange, NJ 07052
Phone (855) 274-3395

103 Pleasant Valley Way
West Orange, NJ 07052
Phone (201) 407-5145

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": "1689552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1639858533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "659 EAGLE ROCK AVE STE 4",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522138",
            "telephone_number": "888-284-2034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "659 EAGLE ROCK AVE STE 4",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522138",
            "telephone_number": "888-284-2034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUZMAN RIVERA",
        "first_name": "YELINEE",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-17",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Orange, NJ

Sources for this page

Verify at the official NPI Registry.