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NICOLE DIAZ
NPI 1053004085
Counselor - Mental Health in New York, NY

Active since May 26, 2023PECOS Enrolled
928 BROADWAY STE 500, NEW YORK, NY 10010(833) 775-6252 Get Directions Write a Review

NPPES record last updated: May 26, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Nicole Diaz NPPES

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

NICOLE DIAZ (NPI 1053004085) is an individual mental health provider in New York, New York and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1053004085
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameNICOLE DIAZ
Location Address928 BROADWAY STE 500New York, NY 10010-8148
Mailing Address3 Parkview PlElmont, NY 11003-4817
Phone(833) 775-6252
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMay 26, 2023
NPPES CertifiedMay 26, 2023
✔ NPI 1053004085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
928 BROADWAY STE 500, New York, NY 10010
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Diaz is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5698265577
PECOS Enrollment IDI20251107004272
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 Nicole Diaz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Valera Medical, P.C.
2.2 mi
Psychiatry
134 N 4TH ST
Brooklyn, NY 11249
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Valera Medical PC
  • 315 clinicians in this Medicare group
NPI 1437782349 (646) 450-7748

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

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RESILIENCE PSYCHOTHERAPY LCSW PC
Social Worker (Clinical)
928 BROADWAY STE 500
NEW YORK, NY 10010
New York County (833) 775-6252
MS. JENNIFER A NEELY LCSW-R
Social Worker (Clinical)
928 BROADWAY STE 500
NEW YORK, NY 10010
New York County (212) 242-0231
NYC INTEGRATIVE PSYCHOTHERAPY LCSW PLLC
Social Worker (Clinical)
928 BROADWAY STE 500
NEW YORK, NY 10010
New York County (646) 872-5451
ERIKA VIDALES LCSW
Social Worker (Clinical)
928 BROADWAY STE 500
NEW YORK, NY 10010
New York County (646) 849-1975
CHARLOTTE YARBORO LMSW
Social Worker
928 BROADWAY STE 500
NEW YORK, NY 10010
New York County (256) 581-0556
JENNIFER MARTINEZ
Social Worker (Clinical)
928 BROADWAY STE 500
NEW YORK, NY 10010
New York County (917) 512-1773
RAINBOW-WOLF SABIN LSW
Social Worker (Clinical)
928 BROADWAY STE 500
NEW YORK, NY 10010
New York County (215) 821-9599
EMILY THAM
Counselor (Mental Health)
928 BROADWAY STE 500
NEW YORK, NY 10010
New York County (833) 775-6252

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 Nicole Diaz's NPI number?

The NPI number for Nicole Diaz is 1053004085. It was assigned to this individual provider in the NPPES registry on May 26, 2023.

Where is Nicole Diaz located?

Nicole Diaz practices at 928 Broadway Ste 500, New York, NY 10010. The listed phone number is (833) 775-6252.

What is Nicole Diaz's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Nicole Diaz enrolled in Medicare?

Yes. Nicole Diaz is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nicole Diaz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Diaz reassigns Medicare benefits to Valera Medical, P.C. (Brooklyn, NY). 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 Nicole Diaz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nicole Diaz was last updated on May 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.