Individual provider Active NPI

Jennifer L Rivera, M.C., LPC

  • Professional Counselor
  • Snowflake, AZ
National Provider Identifier
1891073953
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-12617 Issued in AZ
Practice address
91 S Main St Ste D
Snowflake, AZ 85937-5285
Phone
(928) 275-3015
NPI assigned
Jul 23, 2011
Last updated
Aug 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC-12617 AZ Primary

Addresses

Primary practice location

91 S Main St Ste D
Snowflake, AZ 85937-5285

Mailing address

PO Box 2702
Snowflake, AZ 85937-2702
Phone (480) 250-5995

Other names 1

  • Jennifer L Parsons Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20250129003147 AZ Practitioner - Mental Health Counselor 6709315153 Practice locations: Snowflake, AZ

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

91 S Main St
Suite D
Snowflake, AZ 85937-5285
Phone (928) 275-3015

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
LPC-12617AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Care Medical Supply LLC CurrentSince Aug 6, 2023 Accepting new patients
Transformation Counseling Services, LLC Professional CurrentSince Aug 6, 2023 Accepting new patients
Composs Mental Health Past Accepting new patients
Compass Mental Health, LLC Past Accepting new patients

Locations

91 S Main St
Ste D
Snowflake, AZ 85937
Phone (928) 275-3015

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1311379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1891073953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2702",
            "city": "SNOWFLAKE",
            "state": "AZ",
            "postal_code": "859372702",
            "telephone_number": "480-250-5995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 S MAIN ST STE D",
            "city": "SNOWFLAKE",
            "state": "AZ",
            "postal_code": "859375285",
            "telephone_number": "928-275-3015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "M.C., LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-23",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-12617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "PARSONS",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Snowflake, AZ

Sources for this page

Verify at the official NPI Registry.