MR. AUBREY CAMERON ARCHER
NPI 1174141527
Counselor - Mental Health in Bronx, NY
About Mr. Aubrey Cameron Archer NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. AUBREY CAMERON ARCHER (NPI 1174141527) is an individual mental health provider in Bronx, New York and active in the NPI registry since July 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Aubrey Cameron Archer is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Aubrey Archer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lynbrook, NY 11563
- Reassigned Medicare billing, New York enrollment
- 47 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.
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 Aubrey Archer's NPI number?
The NPI number for Aubrey Archer is 1174141527. It was assigned to this individual provider in the NPPES registry on July 13, 2020.
Where is Aubrey Archer located?
Aubrey Archer practices at 579 Courtlandt Ave, Bronx, NY 10451. The listed phone number is (718) 485-2100.
What is Aubrey Archer's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Aubrey Archer enrolled in Medicare?
Yes. Aubrey Archer is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Aubrey Archer's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Aubrey Archer reassigns Medicare benefits to Nassau Psychology, P.C. (Lynbrook, 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 Aubrey Archer'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 Aubrey Archer was last updated on July 13, 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.
# Mr. Aubrey Cameron Archer · NPI 1174141527
Mental Health provider in Bronx, New York. Individual provider, active in the CMS NPPES registry since July 13, 2020.
## Identity
- **NPI:** 1174141527 (Entity type: Individual)
- **Enumerated:** July 13, 2020
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** No
## Practice location
- **Address:** 579 COURTLANDT AVE, Bronx, NY 10451-5013
- **Phone:** (718) 485-2100
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Nassau Psychology, P.C. (NPI 1750763538, Lynbrook, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** July 13, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1174141527) · Data from the CMS NPPES public registry.