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KARELY RIVAS MS
NPI 1477013605
Counselor - Professional in Fontana, CA

Active since March 22, 2019PECOS Enrolled
17053 FOOTHILL BLVD BLDG B, FONTANA, CA 92335(909) 347-1354(909) 347-1302 Get Directions Write a Review

NPPES record last updated: June 5, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 5, 2025, Mar 20, 2023, Mar 15, 2023 and 1 more (4 updates tracked since 2019).

About Karely Rivas Ms NPPES

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

KARELY RIVAS MS (NPI 1477013605) is an individual professional provider in Fontana, California, licensed in California (LPCC19456) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1477013605
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKARELY RIVASCredential: MS
Location Address17053 FOOTHILL BLVD BLDG BFontana, CA 92335-3574
Mailing Address17053 Foothill Blvd Bldg BFontana, CA 92335-3574 · (909) 347-1354 · Fax (909) 347-1302
Phone(909) 347-1354
Fax(909) 347-1302
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 22, 2019
Last NPPES UpdateJune 5, 20254 updates tracked since enumeration
NPPES CertifiedJune 5, 2025
✔ NPI 1477013605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CA · LPCC19456
17053 FOOTHILL BLVD BLDG B, Fontana, CA 92335
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Karely Rivas Ms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7719477322
PECOS Enrollment IDI20251103002817
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.

Medicare Billing Reassignment

Medicare enrollment records show Karely Rivas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

County Of San Bernardino
0.1 mi
Community/Behavioral Health
17053 E. FOOTHILL BLVD., BUILDING B
Fontana, CA 92335
  • Reassigned Medicare billing, California enrollment
  • 233 clinicians in this Medicare group
NPI 1033320940 (909) 347-1300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 12

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

ROCIO TERRONES MPA
Counselor
17053 FOOTHILL BLVD BLDG B
FONTANA, CA 92335
San Bernardino County (909) 347-1301
PAULINE MARIE MUNOZ
Community Health Worker
17053 FOOTHILL BLVD BLDG B
FONTANA, CA 92335
San Bernardino County (909) 347-1300
PAUL VINCENT CHIONG
Registered Nurse
17053 FOOTHILL BLVD BLDG B
FONTANA, CA 92335
San Bernardino County (909) 347-1300
DR. SUSAN HYUN KYUNG CHO M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
17053 FOOTHILL BLVD BLDG B
FONTANA, CA 92335
San Bernardino County (951) 836-3975
CARLA FUCICH
Social Worker
17053 FOOTHILL BLVD BLDG B
FONTANA, CA 92335
San Bernardino County (909) 347-1300
CHRISTINA RIOS AVALOS AMFT
Marriage & Family Therapist
17053 FOOTHILL BLVD BLDG B
FONTANA, CA 92335
San Bernardino County (909) 347-1300
MS. SAYRA YANET CARRAZCO MENDOZA
Social Worker
17053 FOOTHILL BLVD BLDG B
FONTANA, CA 92335
San Bernardino County (909) 347-1300
BRIANNA BONILLA
Day Training/Habilitation Specialist
17053 FOOTHILL BLVD BLDG B
FONTANA, CA 92335
San Bernardino County (909) 347-1300

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 Karely Rivas's NPI number?

The NPI number for Karely Rivas is 1477013605. It was assigned to this individual provider in the NPPES registry on March 22, 2019.

Where is Karely Rivas located?

Karely Rivas practices at 17053 Foothill Blvd Bldg B, Fontana, CA 92335. The listed phone number is (909) 347-1354.

What is Karely Rivas's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Karely Rivas enrolled in Medicare?

Yes. Karely Rivas is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Karely Rivas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karely Rivas reassigns Medicare benefits to County Of San Bernardino (Fontana, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Karely Rivas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Karely Rivas was last updated on June 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.