IVY HAZEL BERMUDEZ MA, LPC
NPI 1013533256
Counselor - Professional in Amarillo, TX

Active since June 23, 2020PECOS Enrolled
1145 SHASTA DR, AMARILLO, TX 79110(806) 678-5652 Get Directions Write a Review

NPPES record last updated: June 23, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ivy Hazel Bermudez Ma, Lpc NPPES

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

IVY HAZEL BERMUDEZ MA, LPC (NPI 1013533256) is an individual professional provider in Amarillo, Texas, licensed in Texas (77006) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013533256
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameIVY HAZEL BERMUDEZCredential: MA, LPC
Location Address1145 SHASTA DRAmarillo, TX 79110-3526
Mailing Address1145 Shasta DrAmarillo, TX 79110-3526 · (806) 678-5652
Sole ProprietorYes
Enumeration DateJune 23, 2020
NPPES CertifiedJune 23, 2020
✔ NPI 1013533256 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 TX · 77006
1145 SHASTA DR, Amarillo, TX 79110

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ivy Hazel Bermudez Ma, 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 Ivy Bermudez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Primary Care
1545 HARBECK RD
Grants Pass, OR 97527
  • Reassigned Medicare billing, Oregon enrollment
  • 125 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Ivy Bermudez's NPI number?

The NPI number for Ivy Bermudez is 1013533256. It was assigned to this individual provider in the NPPES registry on June 23, 2020.

Where is Ivy Bermudez located?

Ivy Bermudez practices at 1145 Shasta Dr, Amarillo, TX 79110. The listed phone number is (806) 678-5652.

What is Ivy Bermudez's specialty?

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

Is Ivy Bermudez enrolled in Medicare?

Yes. Ivy Bermudez is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ivy Bermudez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ivy Bermudez reassigns Medicare benefits to Options For Southern Oregon (Grants Pass, OR). 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 Ivy Bermudez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ivy Bermudez accept?

Health plans from Blue Cross and Blue Shield of Texas, BridgeSpan Health Company, Imperial Insurance Companies, Inc., Moda Health Plan, Inc. and PacificSource Health Plans and 2 other insurers list Ivy Bermudez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ivy Bermudez was last updated on June 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.