GISELLE MATOS
NPI 1104451251
Counselor - Mental Health in Brooklyn, NY

Q: What is Giselle Matos's NPI number?

The NPI number for Giselle Matos is 1104451251. It was assigned to this individual provider in the NPPES registry on March 10, 2020.

Q: What is Giselle Matos's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Giselle Matos was last updated on March 18, 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.

Active since March 10, 2020PECOS Enrolled

315 WYCKOFF AVE, BROOKLYN, NY 11237(718) 497-6090 Get Directions Write a Review

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

Record update history: Mar 18, 2020, Mar 10, 2020 (2 updates tracked since 2020).

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About Giselle Matos NPPES

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

GISELLE MATOS (NPI 1104451251) is an individual mental health provider in Brooklyn, New York, licensed in New York (P104762) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104451251

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameGISELLE MATOS

Location Address315 WYCKOFF AVEBrooklyn, NY 11237-5384

Mailing Address315 Wyckoff Ave Ste 6Brooklyn, NY 11237-5842

Phone(718) 497-6090

Sole ProprietorNo

Enumeration DateMarch 10, 2020

Last NPPES UpdateMarch 18, 20202 updates tracked since enumeration

NPPES CertifiedMarch 18, 2020

✔ NPI 1104451251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in NY · P104762

315 WYCKOFF AVE, Brooklyn, NY 11237

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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)

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

Interborough Developmental And Consultation Center, Inc.

6.7 mi

Case Management

1623 KINGS HWY
Brooklyn, NY 11229

Reassigned Medicare billing, New York enrollment
306 clinicians in this Medicare group

NPI 1588611842 (718) 375-1200

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 19

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

LEWANNY VARGAS MHC-LP

Counselor (Mental Health)