DEBORAH NEVAREZ-VIVOLO – Mental Health Counselor, NPI 1265820575

DEBORAH NEVAREZ-VIVOLO is a healthcare provider. based in South pasadena, California. specializing in MARRIAGE AND FAMILY THERAPIST. They hold a License No. 122545 (CA). The NPI Number for DEBORAH NEVAREZ-VIVOLO is 1265820575

Main info

Female
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
DEBORAH NEVAREZ-VIVOLO
NPI
1265820575
Phone
(323) 344-5536
Address
205 PASADENA AVE
Enumeration Date
8 January 2015
Last Update Date
13 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3236531990
Graduation Year
2014 (12 years ago)
PAC ID
9335584127
Group Practice PAC ID
5395886311
Professional Enrollment ID
I20250320003676
Address ID
CA900383144LO5205XAVEX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience51
Completeness75
Years active:11State licenses:1Digital endpointsOther names

4,984 MARRIAGE AND FAMILY THERAPIST in CA

Provider Addresses for DEBORAH NEVAREZ-VIVOLO

  • 205 PASADENA AVE

    SOUTH PASADENA, CA 910302919

    Phone: (323) 344-5536

    Type: Mailing

  • 14890 JEREMIE ST

    BALDWIN PARK, CA 917065628

    Phone: (626) 485-0424

    Type: Mailing

  • 21125 CENTRE POINTE PKWY

    SANTA CLARITA, CA 913502994

    Phone: (855) 435-3801

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-03-20

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250320003676IMarriage And Family TherapistCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 91030)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5395886311View full group profile
NameSpecialtyState
Infectious DiseaseTX
Physician AssistantIL
Family PracticeCA
Physician AssistantCA
Physician AssistantCA
Physician AssistantCA
-CA
Internal MedicineCA
Physician AssistantCA
Internal MedicineCA

Reviews

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Frequently asked questions

Where can patients find DEBORAH NEVAREZ-VIVOLO's NPI?
You can confirm DEBORAH NEVAREZ-VIVOLO with NPI 1265820575; it appears in the national provider directory.
Does this profile mean DEBORAH NEVAREZ-VIVOLO is currently active?
Yes — DEBORAH NEVAREZ-VIVOLO appears active in the national provider directory.
What kind of provider is DEBORAH NEVAREZ-VIVOLO?
The page reflects Mental Health Counselor for DEBORAH NEVAREZ-VIVOLO. Clinical services aligned with this taxonomy classification.
What location metadata exists for DEBORAH NEVAREZ-VIVOLO?
The page summarizes South Pasadena, California for DEBORAH NEVAREZ-VIVOLO; expand the address list for detail.
Is DEBORAH NEVAREZ-VIVOLO a real provider?
This page reflects official NPPES data for NPI 1265820575. Always confirm identity and privileges with the practice and licensing boards.

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