MRS. SALLY ANN GONCALVES LPC
NPI 1124785316
Counselor - Professional in Nutley, NJ
About Mrs. Sally Ann Goncalves Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. SALLY ANN GONCALVES LPC (NPI 1124785316) is an individual professional provider in Nutley, New Jersey, licensed in New Jersey (37PC00813600) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
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)
Mrs. Sally Ann Goncalves Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Sally Ann Goncalves reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Newark, NJ 07102
- Reassigned Medicare billing, New Jersey enrollment
- 9 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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NUTLEY, NJ 07110
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 Sally Ann Goncalves's NPI number?
The NPI number for Sally Ann Goncalves is 1124785316. It was assigned to this individual provider in the NPPES registry on November 22, 2021.
Where is Sally Ann Goncalves located?
Sally Ann Goncalves practices at 9 Briar Ln, Nutley, NJ 07110. The listed phone number is (973) 623-0600.
What is Sally Ann Goncalves's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Sally Ann Goncalves enrolled in Medicare?
Yes. Sally Ann Goncalves is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Sally Ann Goncalves's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sally Ann Goncalves reassigns Medicare benefits to Integrity, Inc (Newark, NJ). 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 Sally Ann Goncalves's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sally Ann Goncalves accept?
Health plans from Oscar Health list Sally Ann Goncalves 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 Sally Ann Goncalves was last updated on February 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.
# Mrs. Sally Ann Goncalves, LPC · NPI 1124785316
Professional provider in Nutley, New Jersey. Individual provider, active in the CMS NPPES registry since November 22, 2021.
## Identity
- **NPI:** 1124785316 (Entity type: Individual)
- **Enumerated:** November 22, 2021
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 37PC00813600 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 9 BRIAR LN, Nutley, NJ 07110-3001
- **Phone:** (973) 623-0600
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment
- **Bills Medicare through:** Integrity, Inc (NPI 1164092631, Newark, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 2, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1124785316) · Data from the CMS NPPES public registry.