IVETTE A VILLALOBOS
NPI 1154915700
Counselor - Mental Health in Brooklyn, NY

Active since February 24, 2021PECOS EnrolledAccepts Medicare Assignment
1623 KINGS HWY, BROOKLYN, NY 11229(718) 954-3800 Get Directions Write a Review

NPPES record last updated: December 12, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 12, 2023, Feb 24, 2021 (2 updates tracked since 2021).

About Ivette A Villalobos NPPES

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

IVETTE A VILLALOBOS (NPI 1154915700) is an individual mental health provider in Brooklyn, New York, licensed in New York (013916-01) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1154915700
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameIVETTE A VILLALOBOS
Location Address1623 KINGS HWYBrooklyn, NY 11229-1209
Mailing Address82 Mackay PlBrooklyn, NY 11209-1104 · (646) 290-0792
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateFebruary 24, 2021
Last NPPES UpdateDecember 12, 20232 updates tracked since enumeration
NPPES CertifiedDecember 12, 2023
✔ NPI 1154915700 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 · 013916-01
1623 KINGS HWY, Brooklyn, NY 11229

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ivette A Villalobos is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2668825928
PECOS Enrollment IDI20240202000874
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 Reassignments

2

Medicare enrollment records show Ivette Villalobos reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Case Management
1623 KINGS HWY
Brooklyn, NY 11229
  • Reassigned Medicare billing, New York enrollment
  • 306 clinicians in this Medicare group
Mind Wellness Professional Psychiatric Services PC
  • Reassigned Medicare billing, New York enrollment
  • 16 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
1623 KINGS HWY
BROOKLYN, NY 11229
Counselor (Mental Health)
1623 KINGS HWY
BROOKLYN, NY 11229
Counselor (Mental Health)
1623 KINGS HWY
BROOKLYN, NY 11229
Counselor (Mental Health)
1623 KINGS HWY
BROOKLYN, NY 11229
Counselor (Mental Health)
1623 KINGS HWY
BROOKLYN, NY 11229
Social Worker (Clinical)
1623 KINGS HWY
BROOKLYN, NY 11229
Peer Specialist
1623 KINGS HWY
BROOKLYN, NY 11229
Social Worker
1623 KINGS HWY
BROOKLYN, NY 11229

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 Ivette Villalobos's NPI number?

The NPI number for Ivette Villalobos is 1154915700. It was assigned to this individual provider in the NPPES registry on February 24, 2021.

Where is Ivette Villalobos located?

Ivette Villalobos practices at 1623 Kings Hwy, Brooklyn, NY 11229. The listed phone number is (718) 954-3800.

What is Ivette Villalobos's specialty?

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

Is Ivette Villalobos enrolled in Medicare?

Yes. Ivette Villalobos is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Ivette Villalobos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ivette Villalobos reassigns Medicare benefits to 2 organizations: Interborough Developmental And Consultation Center, Inc. (Brooklyn, NY) and Mind Wellness Professional Psychiatric Services PC (NY). Each 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 Ivette Villalobos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ivette Villalobos accept?

Health plans from Oscar Health list Ivette Villalobos 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 Ivette Villalobos was last updated on December 12, 2023. 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.