1629107966 NPI number — BARBARA V RIVAS LCSW

Table of content: BARBARA V RIVAS LCSW (NPI 1629107966)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1629107966 NPI number — BARBARA V RIVAS LCSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
RIVAS
Provider First Name:
BARBARA
Provider Middle Name:
V
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LCSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
RIVAS
Provider Other First Name:
BARBARA
Provider Other Middle Name:
V
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
LCSW
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1629107966
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/22/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
5629 FM 1960 RD W STE 311
Provider Second Line Business Mailing Address:
SUITE 311
Provider Business Mailing Address City Name:
HOUSTON
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
77069-4216
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
832-286-1539
Provider Business Mailing Address Fax Number:
832-286-1581

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5629 FM 1960 RD W STE 311
Provider Second Line Business Practice Location Address:
SUITE 311
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77069-4216
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
832-286-1539
Provider Business Practice Location Address Fax Number:
832-286-1581
Provider Enumeration Date:
03/04/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  S37878 , registered in the state of TX ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 12747620 . This is a "MULTIPLAN" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1285970 . This is a "BEACON HEALTH STRATEGIES" identifier . This identifiers is of the category "OTHER".
  • Identifier: 654010 . This is a "VALUE OPTIONS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 100136835 . This is a "APS HEALTHCARE" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1629107966 . This is a "HUMANA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2861751 . This is a "CIGNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 448960 . This is a "MENTAL HEALTH NET COMPANY (MHN)" identifier . This identifiers is of the category "OTHER".
  • Identifier: DO NOT ISSUE . This is a "LIFESYNCH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 9305314 . This is a "AETNA" identifier , issued by the state of ( TX ) . This identifiers is of the category "OTHER".
  • Identifier: 1941528 , issued by the state of ( TX ) . This identifiers is of the category "MEDICAID".
  • Identifier: 68053 . This is a "INTEGRATED MENTAL HEALTH SERVICES" identifier . This identifiers is of the category "OTHER".
  • Identifier: 2198004 . This is a "COMPSYCH" identifier . This identifiers is of the category "OTHER".
  • Identifier: 92SL . This is a "BLUE CROSS BLUE SHIELD OF TEXAS" identifier . This identifiers is of the category "OTHER".




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