Individual provider Active NPI

Pablo Armando Rivera-Sanchez, MSW

  • Counselor
  • Portland, OR
National Provider Identifier
1811666241
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
1507 NE 122ND Ave
Portland, OR 97230-1911
Phone
(503) 258-4555
NPI assigned
Sep 9, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Social Worker 1041C0700X
Counselor 101Y00000X Primary

Addresses

Primary practice location

1507 NE 122ND Ave
Portland, OR 97230-1911

Mailing address

1507 NE 122ND Ave
Portland, OR 97230-1911
Phone (503) 258-4555

Other practice location 1

2507 Christie Dr
Lake Oswego, OR 97034
Phone (503) 635-3416

Other practice location 2

1707 Orlando Central Pkwy Ste 480
Orlando, FL 32809-5785
Phone (407) 382-9079

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hispanic Family Counseling Inc Clinical CurrentSince Sep 1, 2021 Accepting new patients
Youth Villages PastSince Aug 1, 2022 Accepting new patients
Youth Villages PastSince Aug 1, 2022 Accepting new patients

Locations

1707 Orlando Central Pkwy
Ste 480
Orlando, FL 32809
Phone (321) 443-5612

Organizations & group practices 3

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": "1631145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1811666241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1507 NE 122ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972301911",
            "telephone_number": "503-258-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 NE 122ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972301911",
            "telephone_number": "503-258-4555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2507 Christie Dr",
            "address_purpose": "LOCATION",
            "city": "Lake Oswego",
            "state": "OR",
            "postal_code": "97034",
            "country_code": "US",
            "telephone_number": "503-635-3416",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1707 Orlando Central Pkwy Ste 480",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328095785",
            "country_code": "US",
            "telephone_number": "407-382-9079",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERA-SANCHEZ",
        "first_name": "PABLO",
        "middle_name": "ARMANDO",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-09",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; 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.