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

Lucelly M. Medeiros Rivera

Individual provider Counselor · NPI 1962977447

Lucelly M. Medeiros Rivera is a Counselor in Seattle, Washington. Works from 2 locations. Licensed in Washington.

Licensed in
WA
In the registry since
2018
Specialties on file
4

Practice location Address checks out

3808 S Angeline St Seattle Wa 98118
Seattle, WA 98118
Phone: (206) 461-4880
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 13940 Ne 166th St, Woodinville, WA 98072-9085 — (787) 464-5529

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence CG61139749 (WA)
Counselor Taxonomy 101Y00000X (WA)
Mental Health Counselor Taxonomy 101YM0800X (WA)
Behavior Technician Taxonomy 106S00000X · Licence RBT-15-09036 (WA)

Record details

NPI number1962977447
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 10, 2018
Last updated in NPPESMarch 4, 2021
Certification dateMarch 4, 2021
Mailing address2611 Ne 125th St Ste 145, Seattle, WA 98125-4357

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