Individual provider Active NPI

Karina Paola Mendez Rivera

  • Mental Health Counselor
  • Worcester, MA
National Provider Identifier
1669015004
Registry record updated Oct 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
255 Park Ave Ste 804
Worcester, MA 01609-1984
Phone
(508) 756-5400
Fax
(508) 756-5433
NPI assigned
Oct 17, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2019

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 Primary

Addresses

Primary practice location

255 Park Ave Ste 804
Worcester, MA 01609-1984

Mailing address

255 Park Ave Ste 804
Worcester, MA 01609-1984
Phone (508) 756-5400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling & Assessment Clinic of Worcester LLC Mental Health CurrentSince Jun 27, 2026 Accepting new patients
Counseling & Assessment Clinic of Worcester, LLC PastSince Jun 27, 2026 Accepting new patients

Locations

33 Electric Ave
Ste 204
Fitchburg, MA 01420
Phone (978) 345-9400

255 Park Ave
Ste 412
Worcester, MA 01609
Phone (508) 756-5400

255 Park Ave
Ste 804
Worcester, MA 01609
Phone (508) 756-5400

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": "1571270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571270400000",
    "number": "1669015004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 PARK AVE STE 804",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016091984",
            "telephone_number": "508-756-5400",
            "fax_number": "508-756-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 PARK AVE STE 804",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016091984",
            "telephone_number": "508-756-5400",
            "fax_number": "508-756-5433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ RIVERA",
        "first_name": "KARINA",
        "middle_name": "PAOLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-17",
        "last_updated": "2019-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worcester, MA

Sources for this page

Verify at the official NPI Registry.