MS. LISETTE RIVERA LPC
NPI 1881164671
Counselor - Professional in Philadelphia, PA

Q: What is Lisette Rivera's NPI number?

The NPI number for Lisette Rivera is 1881164671. It was assigned to this individual provider in the NPPES registry on December 5, 2018.

Q: What is Lisette Rivera's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lisette Rivera was last updated on December 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since December 05, 2018PECOS Enrolled

1100 E ERIE AVE, PHILADELPHIA, PA 19124(215) 533-6700(267) 345-0531 Get Directions Write a Review

NPPES record last updated: December 5, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Ms. Lisette Rivera Lpc NPPES

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

MS. LISETTE RIVERA LPC (NPI 1881164671) is an individual professional provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (PC005779) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881164671

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameMS. LISETTE RIVERACredential: LPC

Location Address1100 E ERIE AVEPhiladelphia, PA 19124-5424

Mailing Address406 Wilson AveWest Collingswood Heights, NJ 08059-1957 · (267) 273-4673

Phone(215) 533-6700

Fax(267) 345-0531

Sole ProprietorYes

Enumeration DateDecember 5, 2018

✔ NPI 1881164671 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 PA · PC005779

1100 E ERIE AVE, Philadelphia, PA 19124

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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)

Ms. Lisette Rivera Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Lisette Rivera reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group Of New Jersey PC

76 mi

Mental Health

221 RIVER ST. FL 9
Hoboken, NJ 07030

Reassigned Medicare billing, New Jersey enrollment
673 clinicians in this Medicare group

NPI 1841949328 (201) 439-8902

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 2

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

BRIDGETTE SABA

Specialist/Technologist (Athletic Trainer)

1100 E ERIE AVE
PHILADELPHIA, PA 19124

Philadelphia County (215) 533-6700

COMMUNITY ACADEMY OF PHILADELPHIA CHARTER SCHOOL

Local Education Agency (LEA)

1100 E ERIE AVE
PHILADELPHIA, PA 19124

Philadelphia County (215) 533-6700

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 Lisette Rivera's NPI number?

The NPI number for Lisette Rivera is 1881164671. It was assigned to this individual provider in the NPPES registry on December 5, 2018.

Where is Lisette Rivera located?

Lisette Rivera practices at 1100 E Erie Ave, Philadelphia, PA 19124. The listed phone number is (215) 533-6700.

What is Lisette Rivera's specialty?

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

Is Lisette Rivera enrolled in Medicare?

Yes. Lisette Rivera is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Lisette Rivera's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lisette Rivera reassigns Medicare benefits to Grow Healthcare Group Of New Jersey PC (Hoboken, NJ). 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 Lisette Rivera'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 Lisette Rivera was last updated on December 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.