Individual provider Active NPI

Betty A Rivera-Sanchez, PHD

  • Professional Counselor
  • Clementon, NJ
National Provider Identifier
1902478944
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00618400 Issued in NJ
Practice address
4 Narragansett Ave
Clementon, NJ 08021-4621
Phone
(484) 484-3040
NPI assigned
Jul 9, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2024

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 37PC00618400 NJ Primary

Addresses

Primary practice location

4 Narragansett Ave
Clementon, NJ 08021-4621

Mailing address

4 Narragansett Ave
Clementon, NJ 08021-4621
Phone (484) 484-3040

Other practice location 1

4 Narragansett Ave
Clementon, NJ 08021-4621
Phone (484) 484-3040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20240202000211 NJ Practitioner - Mental Health Counselor 7810340155 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Thrive Counseling LLCGroup PAC ID 0749458420, 1,187 clinicians

Practice addresses (Care Compare)

1030 Kings Hwy N
Suite 202
Cherry Hill, NJ 08034-1907
Phone (855) 284-7483

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
37PC00618400NJMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC CurrentSince Jan 23, 2024 Accepting new patients
Lifebulb LLC PastSince Oct 16, 2022 Accepting new patients

Locations

1030 Kings Hwy N
Ste 202
Cherry Hill, NJ 08034
Phone (201) 820-0057

505 Main St
Toms River, NJ 08753
Phone (732) 272-0127

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

Organizations & group practices 2

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": "1625788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1902478944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 NARRAGANSETT AVE",
            "city": "CLEMENTON",
            "state": "NJ",
            "postal_code": "080214621",
            "telephone_number": "484-484-3040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 NARRAGANSETT AVE",
            "city": "CLEMENTON",
            "state": "NJ",
            "postal_code": "080214621",
            "telephone_number": "484-484-3040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Narragansett Ave",
            "address_purpose": "LOCATION",
            "city": "Clementon",
            "state": "NJ",
            "postal_code": "080214621",
            "country_code": "US",
            "telephone_number": "484-484-3040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERA-SANCHEZ",
        "first_name": "BETTY",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-09",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00618400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clementon, NJ

Sources for this page

Verify at the official NPI Registry.