GEDALIAH CARRERA
NPI 1093370934
Counselor - Mental Health in Bronx, NY

Active since May 07, 2019PECOS Enrolled
579 COURTLANDT AVE, BRONX, NY 10451(917) 275-4763 Get Directions Write a Review

NPPES record last updated: November 12, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 12, 2024, May 7, 2019 (2 updates tracked since 2019).

About Gedaliah Carrera NPPES

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

GEDALIAH CARRERA (NPI 1093370934) is an individual mental health provider in Bronx, New York and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093370934
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameGEDALIAH CARRERA
Location Address579 COURTLANDT AVEBronx, NY 10451-5013
Mailing Address579 Courtlandt AvenueBronx, NY 10451 · (718) 908-8000 · Fax (718) 485-2101
Sole ProprietorNo
Enumeration DateMay 7, 2019
Last NPPES UpdateNovember 12, 20242 updates tracked since enumeration
✔ NPI 1093370934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
579 COURTLANDT AVE, Bronx, NY 10451

Other Identifiers 1

Medicaid22-2036555NY

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)

Gedaliah Carrera 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 Gedaliah Carrera reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community/Behavioral Health
17620 148TH AVE
Jamaica, NY 11434
  • Reassigned Medicare billing, New York enrollment
  • 249 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.

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.

Social Worker
579 COURTLANDT AVE
BRONX, NY 10451
Counselor (Mental Health)
579 COURTLANDT AVE
BRONX, NY 10451
Counselor (Mental Health)
579 COURTLANDT AVE
BRONX, NY 10451
Social Worker
579 COURTLANDT AVE
BRONX, NY 10451
Social Worker (Clinical)
579 COURTLANDT AVE
BRONX, NY 10451
Social Worker
579 COURTLANDT AVE
BRONX, NY 10451
Counselor (Mental Health)
579 COURTLANDT AVE
BRONX, NY 10451
Counselor (Mental Health)
579 COURTLANDT AVE
BRONX, NY 10451

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 Gedaliah Carrera's NPI number?

The NPI number for Gedaliah Carrera is 1093370934. It was assigned to this individual provider in the NPPES registry on May 7, 2019.

Where is Gedaliah Carrera located?

Gedaliah Carrera practices at 579 Courtlandt Ave, Bronx, NY 10451. The listed phone number is (917) 275-4763.

What is Gedaliah Carrera's specialty?

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

Is Gedaliah Carrera enrolled in Medicare?

Yes. Gedaliah Carrera is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Gedaliah Carrera's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gedaliah Carrera reassigns Medicare benefits to New York Psychotherapy And Counseling Center (Jamaica, 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 Gedaliah Carrera's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gedaliah Carrera accept?

Health plans from Anthem Blue Cross and Blue Shield list Gedaliah Carrera 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 Gedaliah Carrera was last updated on November 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.