MARY RIVERS LPC AND LMHC NPI 1689805178

NPI Information

NPI: 1689805178
Provider Name: MARY RIVERS, LPC AND LMHC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
19120 SE 34TH ST STE 201
VANCOUVER, WA
ZIP 98683
Phone: (360) 906-1190
Get Directions

Mary Rivers, LPC AND LMHC is a mental health counselor in Vancouver, WA. Mary Rivers, LPC AND LMHC NPI is 1689805178. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

19120 SE 34TH ST STE 201
VANCOUVER, WA
ZIP 98683-430
Phone: (360) 906-1190

The enumeration date for this NPI number is 7/31/2009 and was last updated on 2/7/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor		C4052	OREGON	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	11-06-62	OREGON	No
3	101YM0800X	Counselor	Mental Health	R3301	OREGON	No
4	101YM0800X	Counselor	Mental Health	LH60659551	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	4052	OTHER	OREGON	LICENSED COUNSELOR IN OREGON LPC
2	60659551	OTHER	WASHINGTON	LICENSED COUNSELOR IN WA
3	123190	MEDICAID	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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