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CHANEL VIVIANA TAZZA LMHC
NPI 1053510354
Counselor - Mental Health in Ridgewood, NY

Active since July 16, 2007PECOS EnrolledAccepts Medicare Assignment
5913 GROVE ST, RIDGEWOOD, NY 11385(646) 456-0819(718) 297-8658 Get Directions Write a Review

NPPES record last updated: March 28, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 5, 2021, Sep 11, 2019, Aug 20, 2019 (3 updates tracked since 2019).

About Chanel Viviana Tazza Lmhc NPPES

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

CHANEL VIVIANA TAZZA LMHC (NPI 1053510354) is an individual mental health provider in Ridgewood, New York, licensed in New York (004161) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Glen Head, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1053510354
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCHANEL VIVIANA TAZZACredential: LMHC
Location Address5913 GROVE STRidgewood, NY 11385-2647
Mailing Address63 Scudders LnGlen Head, NY 11545-1535 · (646) 456-0819 · Fax (718) 297-8658
Phone(646) 456-0819
Fax(718) 297-8658
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateJuly 16, 2007
Last NPPES UpdateMarch 28, 20243 updates tracked since enumeration
NPPES CertifiedMarch 28, 2024
✔ NPI 1053510354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NY · 004161
Also ListedCounselorTaxonomy 101Y00000X
5913 GROVE ST, Ridgewood, NY 11385
Open in Google Maps ↗

Secondary Practice Location 1

Location 163 Scudders LnGlen Head, NY 11545-1535 · Phone (646) 456-0819

Other Identifiers 5

Other00-4161NY · Nys Mental Health Counselor License
Other006801CT · State License
Other37PC00991600NJ · State License
Medicaid07679601NY
Other1053510354Npi

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Chanel Viviana Tazza Lmhc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID42684045
PECOS Enrollment IDI20240517000134
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.

Other Providers at the Same Location NPPES 11

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

RYAN TYLON-ELIJAH FIELDS MHC, MPA
Counselor (Mental Health)
5913 GROVE ST
RIDGEWOOD, NY 11385
Queens County (718) 506-5457
NOEMI FERRES
Counselor (Mental Health)
5913 GROVE ST
RIDGEWOOD, NY 11385
Queens County (646) 456-0819
MIRA VASJARI
Counselor (Mental Health)
5913 GROVE ST
RIDGEWOOD, NY 11385
Queens County (646) 456-0819
UNIQUE GRIER
Counselor (Mental Health)
5913 GROVE ST
RIDGEWOOD, NY 11385
Queens County (646) 456-0819
JAIME QUIZHPI
Counselor (Mental Health)
5913 GROVE ST
RIDGEWOOD, NY 11385
Queens County (646) 456-0819
FATIMA ANDREA CABRERA
Student in an Organized Health Care Education/Training Program
5913 GROVE ST
RIDGEWOOD, NY 11385
Queens County (646) 456-0819
MRS. CELINA BRAVO
Marriage & Family Therapist
5913 GROVE ST
RIDGEWOOD, NY 11385
Queens County (646) 465-0819
VIOLETA BANGIYEV
Counselor (Mental Health)
5913 GROVE ST
RIDGEWOOD, NY 11385
Queens County (646) 456-0819

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 Chanel Tazza's NPI number?

The NPI number for Chanel Tazza is 1053510354. It was assigned to this individual provider in the NPPES registry on July 16, 2007.

Where is Chanel Tazza located?

Chanel Tazza practices at 5913 Grove St, Ridgewood, NY 11385. The listed phone number is (646) 456-0819.

What is Chanel Tazza's specialty?

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

Is Chanel Tazza enrolled in Medicare?

Yes. Chanel Tazza is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Chanel Tazza accept?

Health plans from Providence Health Plan list Chanel Tazza 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 Chanel Tazza was last updated on March 28, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.