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NEMESIO LIZANDRO FLORES I
NPI 1114767712
Counselor - Mental Health in Jackson Heights, NY

Active since May 30, 2024PECOS Enrolled
9109 ROOSEVELT AVE, JACKSON HEIGHTS, NY 11372(347) 640-7419 Get Directions Write a Review

NPPES record last updated: May 30, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Nemesio Lizandro Flores I NPPES

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

NEMESIO LIZANDRO FLORES I (NPI 1114767712) is an individual mental health provider in Jackson Heights, New York and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1114767712
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameNEMESIO LIZANDRO FLORES I
Location Address9109 ROOSEVELT AVEJackson Heights, NY 11372-7995
Mailing Address3536 93rd StJackson Heights, NY 11372-5864 · (347) 640-7419
Phone(347) 640-7419
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateMay 30, 2024
NPPES CertifiedMay 30, 2024
✔ NPI 1114767712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
9109 ROOSEVELT AVE, Jackson Heights, NY 11372
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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)

Nemesio Lizandro Flores I is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID648741157
PECOS Enrollment IDI20260605001313
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 Nemesio Flores reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

New York Psychotherapy And Counseling Center
8.3 mi
Community/Behavioral Health
17620 148TH AVE
Jamaica, NY 11434
  • Reassigned Medicare billing, New York enrollment
  • 249 clinicians in this Medicare group
NPI 1902811342 (718) 553-1100

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 15

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

MAGALLY CHAVEZ
Social Worker
9109 ROOSEVELT AVE
JACKSON HEIGHTS, NY 11372
Queens County (718) 485-2100
MARY STEPHANIE MACANCELA
Counselor (Mental Health)
9109 ROOSEVELT AVE
JACKSON HEIGHTS, NY 11372
Queens County (718) 908-8000
JHOSELIN VANESA ESPINOZA
Social Worker
9109 ROOSEVELT AVE
JACKSON HEIGHTS, NY 11372
Queens County (718) 908-8000
RENATA CAMILA SALINAS GONZALEZ
Social Worker
9109 ROOSEVELT AVE
JACKSON HEIGHTS, NY 11372
Queens County (718) 908-8000
JESSICA LIZET LOPEZ
Student in an Organized Health Care Education/Training Program
9109 ROOSEVELT AVE
JACKSON HEIGHTS, NY 11372
Queens County (718) 908-8000
ROOSEVELT OPTOMETRY ASSOCIATES PLLC
Optometrist
9109 ROOSEVELT AVE
JACKSON HEIGHTS, NY 11372
Queens County (516) 343-4003
STEPHANIE ALEXANDRA SOSA-BRAVO
Social Worker
9109 ROOSEVELT AVE
JACKSON HEIGHTS, NY 11372
Queens County (718) 908-8000
SIERA ANTMANN
Counselor (Mental Health)
9109 ROOSEVELT AVE
JACKSON HEIGHTS, NY 11372
Queens County (718) 908-8000

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 Nemesio Flores's NPI number?

The NPI number for Nemesio Flores is 1114767712. It was assigned to this individual provider in the NPPES registry on May 30, 2024.

Where is Nemesio Flores located?

Nemesio Flores practices at 9109 Roosevelt Ave, Jackson Heights, NY 11372. The listed phone number is (347) 640-7419.

What is Nemesio Flores's specialty?

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

Is Nemesio Flores enrolled in Medicare?

Yes. Nemesio Flores is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nemesio Flores's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nemesio Flores 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 Nemesio Flores'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 Nemesio Flores was last updated on May 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.