Jennifer Rivera
Counselor, Addiction (Substance Use Disorder) in New York, NY. Individual provider (NPI-1).
NPI number1407467970
StatusActive
Last updated in NPPESDec 31, 2024
Details
- NPI
- 1407467970
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Rivera
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 10, 2020
- Certification date
- Dec 26, 2024
- Last updated
- Dec 31, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | Yes |
| 103K00000X | Behavior Analyst | – | – |
Practice location
21 Old Route 6Carmel
New York, NY 10512
Phone 845-225-5202
Mailing address
21 Old Route 6Carmel, NY 10512-2107
Phone 458-225-5202
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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