Individual provider Active NPI

Shara Erica Rivera, LPCC, NCC

  • Mental Health Counselor
  • Albuquerque, NM
National Provider Identifier
1972259257
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
4273 Montgomery Blvd NE Ste K220
Albuquerque, NM 87109-6748
Phone
(505) 554-1283
Fax
(505) 207-6167
NPI assigned
Feb 25, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NM Primary

Addresses

Primary practice location

4273 Montgomery Blvd NE Ste K220
Albuquerque, NM 87109-6748

Mailing address

4273 Montgomery Blvd NE Ste K220
Albuquerque, NM 87109-6748
Phone (055) 541-2835

Other practice location 1

500 Unser Blvd SE Ste A
Rio Rancho, NM 87124-4660
Phone (505) 404-0554

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20250821005028 NM Practitioner - Mental Health Counselor 7810497070 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4253 Montgomery Blvd NE
Suite G130
Albuquerque, NM 87109-1106

4273 Montgomery Blvd NE
Suite K220
Albuquerque, NM 87109-0000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grace Therapy Services, LLC CurrentSince Jul 23, 2025 Accepting new patients

Locations

4273 Montgomery Blvd NE
Ste K220
Albuquerque, NM 87109
Phone (505) 278-0042

Organizations & group practices 1

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": "1645747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1972259257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4273 MONTGOMERY BLVD NE STE K220",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871096748",
            "telephone_number": "055-541-2835",
            "fax_number": "505-207-6167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4273 MONTGOMERY BLVD NE STE K220",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871096748",
            "telephone_number": "505-554-1283",
            "fax_number": "505-207-6167"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Unser Blvd SE Ste A",
            "address_purpose": "LOCATION",
            "city": "Rio Rancho",
            "state": "NM",
            "postal_code": "871244660",
            "country_code": "US",
            "telephone_number": "505-404-0554",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "SHARA",
        "middle_name": "ERICA",
        "credential": "LPCC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-25",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.