Active NPI
Patricia A Rivera, LISW
- Mental Health Counselor
- Albuquerque, NM
National Provider Identifier
1801816434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- I-2541
- Practice address
- 1710 Centro Familiar SW
Albuquerque, NM 87105-0001 - Phone
- (505) 212-7399
- Fax
- (505) 877-3353
- NPI assigned
- Jul 19, 2006
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | I-2541 | NM | Primary |
Addresses
Primary practice location
1710 Centro Familiar SW
Albuquerque, NM 87105-0001
Mailing address
1017 Forrester Ave NW
Albuquerque, NM 87102-1907
Phone (505) 917-8904
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00071004 | Medicaid | NM |
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 |
|---|---|---|---|
| I-2541 | NM | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347408000000",
"number": "1801816434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1017 FORRESTER AVE NW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871021907",
"telephone_number": "505-917-8904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1710 CENTRO FAMILIAR SW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871050001",
"telephone_number": "505-212-7399",
"fax_number": "505-877-3353"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "PATRICIA",
"middle_name": "A",
"credential": "LISW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-19",
"last_updated": "2012-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NM",
"license": "I-2541",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00071004",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.