EMMANUEL VILLARIVERA LMHC
NPI 1124686290
Counselor - Mental Health in Tacoma, WA

Active since June 03, 2019PECOS EnrolledAccepts Medicare Assignment
612 113TH ST S, TACOMA, WA 98444(253) 301-8140 Get Directions Write a Review

NPPES record last updated: September 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Emmanuel Villarivera Lmhc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EMMANUEL VILLARIVERA LMHC (NPI 1124686290) is an individual mental health provider in Tacoma, Washington, licensed in Washington (60938568) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS and is a graduate of National University Of Arts And Sciences, Medical Department (1996).

NPPES Registry Identity

NPI1124686290
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameEMMANUEL VILLARIVERACredential: LMHC
Location Address612 113TH ST STacoma, WA 98444-4902
Mailing Address4815 51st Avenue Ct WUniversity Place, WA 98467-4827 · (253) 301-8140
Sole ProprietorYes
Medical School CMSNational University Of Arts And Sciences, Medical DepartmentGraduated 1996
Enumeration DateJune 3, 2019
Last NPPES UpdateSeptember 24, 2025
NPPES CertifiedSeptember 24, 2025
NPI 1124686290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in WA · 60938568
612 113TH ST S, Tacoma, WA 98444

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Emmanuel Villarivera Lmhc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9335645050
PECOS Enrollment IDI20251001004172
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
612 113TH ST S
TACOMA, WA 98444
Counselor (Mental Health)
612 113TH ST S
TACOMA, WA 98444
Counselor (Mental Health)
612 113TH ST S
TACOMA, WA 98444

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Emmanuel Villarivera's NPI number?

The NPI number for Emmanuel Villarivera is 1124686290. It was assigned to this individual provider in the NPPES registry on June 3, 2019.

Where is Emmanuel Villarivera located?

Emmanuel Villarivera practices at 612 113th St S, Tacoma, WA 98444. The listed phone number is (253) 301-8140.

What is Emmanuel Villarivera's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Emmanuel Villarivera enrolled in Medicare?

Yes. Emmanuel Villarivera is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Emmanuel Villarivera accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Emmanuel Villarivera as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Emmanuel Villarivera was last updated on September 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.