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LUCELLY M. MEDEIROS RIVERA
NPI 1962977447
Counselor in Seattle, WA

Active since October 10, 2018
3808 S ANGELINE ST, SEATTLE, WA 98118, SEATTLE, WA 98118(206) 461-4880 Get Directions Write a Review

NPPES record last updated: March 4, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 4, 2021, Jan 29, 2021, Jan 20, 2021 and 1 more (4 updates tracked since 2018).

About Lucelly M. Medeiros Rivera NPPES

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

LUCELLY M. MEDEIROS RIVERA (NPI 1962977447) is an individual counselor in Seattle, Washington, licensed in Washington (CG61139749) and active in the NPI registry since October 2018. She maintains a secondary practice location in Woodinville.

NPPES Registry Identity

NPI1962977447
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameLUCELLY M. MEDEIROS RIVERA
Location Address3808 S ANGELINE ST, SEATTLE, WA 98118Seattle, WA 98118
Mailing Address2611 Ne 125th St Ste 145Seattle, WA 98125-4357 · (206) 437-5134
Phone(206) 461-4880
Sole ProprietorNo
Enumeration DateOctober 10, 2018
Last NPPES UpdateMarch 4, 20214 updates tracked since enumeration
NPPES CertifiedMarch 4, 2021
✔ NPI 1962977447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in WA · CG61139749
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedBehavior TechnicianTaxonomy 106S00000X · License RBT-15-09036 (WA)
3808 S ANGELINE ST, SEATTLE, WA 98118, Seattle, WA 98118
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Secondary Practice Location 1

Location 113940 NE 166th StWoodinville, WA 98072-9085 · Phone (787) 464-5529

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 Lucelly Medeiros Rivera's NPI number?

The NPI number for Lucelly Medeiros Rivera is 1962977447. It was assigned to this individual provider in the NPPES registry on October 10, 2018.

Where is Lucelly Medeiros Rivera located?

Lucelly Medeiros Rivera practices at 3808 S Angeline St, Seattle, Wa 98118, Seattle, WA 98118. The listed phone number is (206) 461-4880.

What is Lucelly Medeiros Rivera's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Lucelly Medeiros Rivera was last updated on March 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.