Active NPI
Bertha Irene Rivas, LCDC
- Addiction (Substance Use Disorder) Counselor
- Pharr, TX
National Provider Identifier
1992923411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 10403
- Practice address
- 910 E Dreyer St
Pharr, TX 78577-5004 - Phone
- (956) 739-3051
- NPI assigned
- Apr 22, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 10403 | TX | Primary |
Addresses
Primary practice location
910 E Dreyer St
Pharr, TX 78577-5004
Mailing address
910 E Dreyer St
Pharr, TX 78577-5004
Phone (956) 739-3051
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10403 | TX | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992923411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "910 E DREYER ST",
"city": "PHARR",
"state": "TX",
"postal_code": "785775004",
"telephone_number": "956-739-3051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 E DREYER ST",
"city": "PHARR",
"state": "TX",
"postal_code": "785775004",
"telephone_number": "956-739-3051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVAS",
"first_name": "BERTHA",
"middle_name": "IRENE",
"name_prefix": "Ms.",
"credential": "LCDC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "TX",
"license": "10403",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pharr, TX
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- Risas Y Rayones Rehab Services
- Ivan Jerick Rizal, OTR
- Roberto Diaz D.D.S. P.a. (Cosmetic and Esthetic Dental Center)
- Rodeo Dental Pharr PLLC (Rodeo Dental)
- Carmen Yomara Rodriguez Gonzalez, APRN
- Denisse Adriana Rodriguez Leos, COTA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.