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CRYSTAL DE LA RIVA
NPI 1801447479
Marriage & Family Therapist in Orange, CA

Active since September 25, 2019PECOS Enrolled
1091 N BATAVIA ST, ORANGE, CA 92867(949) 273-0555 Get Directions Write a Review

NPPES record last updated: December 13, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 13, 2021, Sep 25, 2019 (2 updates tracked since 2019).

About Crystal De La Riva NPPES

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

CRYSTAL DE LA RIVA (NPI 1801447479) is an individual marriage & family therapist in Orange, California, licensed in California (128858) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1801447479
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameCRYSTAL DE LA RIVA
Location Address1091 N BATAVIA STOrange, CA 92867-5548
Mailing Address1091 N Batavia StOrange, CA 92867-5548
Phone(949) 273-0555
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 25, 2019
Last NPPES UpdateDecember 13, 20212 updates tracked since enumeration
NPPES CertifiedDecember 13, 2021
✔ NPI 1801447479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 128858
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
1091 N BATAVIA ST, Orange, CA 92867
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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)

Crystal De La Riva is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8820573199
PECOS Enrollment IDI20260403001776
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 Crystal De La Riva reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mellow Medical Inc A Professional Corporation
35 mi
Psychiatry
8235 SANTA MONICA BLVD, SUITE 300
West Hollywood, CA 90046
  • Reassigned Medicare billing, California enrollment
  • 204 clinicians in this Medicare group
NPI 1407275886 (310) 892-4284

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 3

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

LEAH T ROA-GUTIERREZ
Case Manager/Care Coordinator
1091 N BATAVIA ST
ORANGE, CA 92867
Orange County (909) 969-1405
JAMES MARTIN SUDCC
Counselor (Addiction (Substance Use Disorder))
1091 N BATAVIA ST
ORANGE, CA 92867
Orange County (949) 273-0555
CHRISTINE L BOUMA BSN
Registered Nurse
1091 N BATAVIA ST
ORANGE, CA 92867
Orange County (949) 273-0555

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 Crystal De La Riva's NPI number?

The NPI number for Crystal De La Riva is 1801447479. It was assigned to this individual provider in the NPPES registry on September 25, 2019.

Where is Crystal De La Riva located?

Crystal De La Riva practices at 1091 N Batavia St, Orange, CA 92867. The listed phone number is (949) 273-0555.

What is Crystal De La Riva's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Crystal De La Riva enrolled in Medicare?

Yes. Crystal De La Riva is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Crystal De La Riva's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Crystal De La Riva reassigns Medicare benefits to Mellow Medical Inc A Professional Corporation (West Hollywood, 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 Crystal De La Riva'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 Crystal De La Riva was last updated on December 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.