DR. ANTHONY GAUDIOSO LMHC, NCC, PHD
NPI 1083684096
Counselor - Mental Health in Stone Ridge, NY
About Dr. Anthony Gaudioso Lmhc, Ncc, Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ANTHONY GAUDIOSO LMHC, NCC, PHD (NPI 1083684096) is an individual mental health provider in Stone Ridge, New York, licensed in New York (000464) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Kingston, and is a graduate of Other (2004).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Anthony Gaudioso Lmhc, Ncc, Phd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Anthony Gaudioso reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Stone Ridge, NY 12484
- Reassigned Medicare billing, New York enrollment
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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
STONE RIDGE, NY 12484
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 Anthony Gaudioso's NPI number?
The NPI number for Anthony Gaudioso is 1083684096. It was assigned to this individual provider in the NPPES registry on January 23, 2006. The provider is also known as Dr. Tony Gaudioso Lmhc, Ncc, Phd.
Where is Anthony Gaudioso located?
Anthony Gaudioso practices at 695 Buck Rd, Stone Ridge, NY 12484. The listed phone number is (212) 729-1450.
What is Anthony Gaudioso's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Anthony Gaudioso enrolled in Medicare?
Yes. Anthony Gaudioso is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Anthony Gaudioso's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Anthony Gaudioso reassigns Medicare benefits to Anthony Gaudioso, Ph.D, Licensed Mental Health Counselor, P.C. (Stone Ridge, 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 Anthony Gaudioso'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 Anthony Gaudioso was last updated on August 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Dr. Anthony Gaudioso, LMHC, NCC, PHD · NPI 1083684096
Mental Health provider in Stone Ridge, New York. Individual provider, active in the CMS NPPES registry since January 23, 2006.
## Identity
- **NPI:** 1083684096 (Entity type: Individual)
- **Enumerated:** January 23, 2006
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 000464 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 695 BUCK RD, Stone Ridge, NY 12484-5500
- **Phone:** (212) 729-1450
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Anthony Gaudioso, Ph.D, Licensed Mental Health Counselor, P.C. (NPI 1376788604, Stone Ridge, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2004
## Record status
- **NPPES last updated:** August 2, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1083684096) · Data from the CMS NPPES public registry.