JANNELLE RIVAS
NPI 1790566644
Peer Specialist in Riverside, CA

Active since October 06, 2023
4164 BROCKTON AVE, RIVERSIDE, CA 92501(951) 683-5193 Get Directions Write a Review

NPPES record last updated: September 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 8, 2023, Oct 6, 2023 (2 updates tracked since 2023).

About Jannelle Rivas NPPES

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

JANNELLE RIVAS (NPI 1790566644) is an individual peer specialist in Riverside, California, licensed in California (MPSS-EBDJFR) and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1790566644
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameJANNELLE RIVAS
Location Address4164 BROCKTON AVERiverside, CA 92501-3400
Mailing Address4164 Brockton AveRiverside, CA 92501-3400
Sole ProprietorNo
Enumeration DateOctober 6, 2023
Last NPPES UpdateSeptember 23, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2025
NPI 1790566644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License Licensed in CA · MPSS-EBDJFR
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
Also ListedRehabilitation PractitionerTaxonomy 225400000X
4164 BROCKTON AVE, Riverside, CA 92501

Other Providers at the Same Location NPPES 20

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

Occupational Therapy Assistant
4164 BROCKTON AVE
RIVERSIDE, CA 92501
Student in an Organized Health Care Education/Training Program
4164 BROCKTON AVE
RIVERSIDE, CA 92501
Peer Specialist
4164 BROCKTON AVE
RIVERSIDE, CA 92501
Psychiatry & Neurology (Child & Adolescent Psychiatry)
4164 BROCKTON AVE
RIVERSIDE, CA 92501
Marriage & Family Therapist
4164 BROCKTON AVE
RIVERSIDE, CA 92501
Marriage & Family Therapist
4164 BROCKTON AVE
RIVERSIDE, CA 92501
Marriage & Family Therapist
4164 BROCKTON AVE
RIVERSIDE, CA 92501
Marriage & Family Therapist
4164 BROCKTON AVE
RIVERSIDE, CA 92501

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 Jannelle Rivas's NPI number?

The NPI number for Jannelle Rivas is 1790566644. It was assigned to this individual provider in the NPPES registry on October 6, 2023.

Where is Jannelle Rivas located?

Jannelle Rivas practices at 4164 Brockton Ave, Riverside, CA 92501. The listed phone number is (951) 683-5193.

What is Jannelle Rivas's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Jannelle Rivas was last updated on September 23, 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.