Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jaqueline Rivas

Individual provider Counselor · NPI 1104169465

Jaqueline Rivas is a Counselor in Fort Worth, Texas. Licensed in Texas. Registered with an NPI since 2013.

Licensed in
TX
In the registry since
2013
Specialties on file
2
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Practice location Address checks out

4928 Navajo Way
Fort Worth, TX 76137-5151
Phone: (949) 929-4249
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 107429 (TX)
Counselor Taxonomy 101Y00000X

Record details

NPI number1104169465
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 4, 2013
Last updated in NPPESJanuary 25, 2024
Certification dateJanuary 25, 2024
Mailing address4928 Navajo Way, Fort Worth, TX 76137-5151

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