Individual provider Active NPI

Jonathan Bruce Riven, MA, LMHC

  • Mental Health Counselor
  • Albany, NY
National Provider Identifier
1760815708
Registry record updated Aug 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
005667-1 Issued in NY
Practice address
1143 New Scotland Rd
Albany, NY 12208-1036
Phone
(518) 210-5288
NPI assigned
Aug 13, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2013

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 005667-1 NY Primary

Addresses

Primary practice location

1143 New Scotland Rd
Albany, NY 12208-1036

Mailing address

1143 New Scotland Rd
Albany, NY 12208-1036
Phone (518) 210-5288

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20260519004249 NY Practitioner - Mental Health Counselor 1153890165 Practice locations: Albany, NY

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Albany, NY 12208
Phone (518) 210-5288

1143 New Scotland Rd
Albany, NY 12208-1036

40 Colvin Ave
Suite LL2
Albany, NY 12206-1104
Phone (518) 210-5288

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
005667-1NYMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1376352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376352000000",
    "number": "1760815708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1143 NEW SCOTLAND RD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122081036",
            "telephone_number": "518-210-5288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1143 NEW SCOTLAND RD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122081036",
            "telephone_number": "518-210-5288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVEN",
        "first_name": "JONATHAN",
        "middle_name": "BRUCE",
        "name_prefix": "Mr.",
        "credential": "MA, LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-13",
        "last_updated": "2013-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "005667-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.