Active NPI
Pablo Armando Rivera-Sanchez, MSW
- Counselor
- Portland, OR
National Provider Identifier
1811666241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hispanic Family Counseling Inc | Clinical | Current | Accepting new patients |
| Youth Villages | Past | Accepting new patients | |
| Youth Villages | Past | 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.
-
- Community/Behavioral Health Agency
- Orlando, FL
- NPI 1669727699
Clinical
-
- Community/Behavioral Health Agency
- Lake Oswego, OR
- NPI 1740729490
-
- Adolescent and Children Mental Health Clinic/Center
- Lake Oswego, OR
- NPI 1992243992
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.