Active NPI
Mayra Gil Rivera
- Addiction (Substance Use Disorder) Counselor
- Coachella, CA
National Provider Identifier
1750173589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- R1604420325
- Practice address
- 1612 First St
Coachella, CA 92236 - Phone
- (760) 398-9000
- NPI assigned
- May 19, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | R1604420325 | CA | Primary |
Addresses
Primary practice location
1612 First St
Coachella, CA 92236
Mailing address
1612 First St
Coachella, CA 92236
Phone (760) 398-9000
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 |
|---|---|---|---|
| R1604420325 | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747612800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747612800000",
"number": "1750173589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1612 FIRST ST",
"city": "COACHELLA",
"state": "CA",
"postal_code": "92236",
"telephone_number": "760-398-9000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1612 FIRST ST",
"city": "COACHELLA",
"state": "CA",
"postal_code": "92236",
"telephone_number": "760-398-9000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "MAYRA",
"middle_name": "GIL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-05-19",
"last_updated": "2025-05-19",
"certification_date": "2025-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "R1604420325",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Coachella, CA
- Ruth Rincon-Garcia
- Emilio Rios Jr., MS CCC SLP
- Jennie Martinez Rios
- Jesus J Rios
- Jacqueline Paulette Rivera, LMFT
- Riverside Co. Latino Commission on Alcohol and Drug Abuse SVCS, Inc.
- Riverside County Latino Commission on Alcohol and Drug Abuse Services
- Riverside Latino Commission
- Riverside Latino Commission on Alcohol & Drug Abuse Services, Inc.
- Brenda Rocha
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.