Betsy Rivera, CDCA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

100388 Issued in OH

Practice address

39500 Euclid Ave Willougbhy Ohio 44095
35900 Euclid Ave Willoughby Ohio 44095
Willoughby, OH 44095

Phone

(440) 602-3951

Fax

(440) 953-3277

NPI assigned

Feb 27, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1551225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551225600000",
    "number": "1669939567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39500 EUCLID AVE WILLOUGBHY OHIO 44095",
            "address_2": "35900 EUCLID AVE WILLOUGHBY OHIO 44095",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "44095",
            "telephone_number": "440-602-3951",
            "fax_number": "440-953-3277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39500 EUCLID AVE WILLOUGBHY OHIO 44095",
            "address_2": "35900 EUCLID AVE WILLOUGHBY OHIO 44095",
            "city": "WILLOUGHBY",
            "state": "OH",
            "postal_code": "44095",
            "telephone_number": "440-602-3951",
            "fax_number": "440-953-3277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "BETSY",
        "credential": "CDCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-27",
        "last_updated": "2019-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "100388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Willoughby, OH
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2019; 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.