JENNIFER RHOADES
NPI 1215639737
Counselor - Mental Health in Brooklyn, NY

Active since March 20, 2023PECOS Enrolled
790 BROADWAY, BROOKLYN, NY 11206(718) 388-5175 Get Directions Write a Review

NPPES record last updated: April 17, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jennifer Rhoades NPPES

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

JENNIFER RHOADES (NPI 1215639737) is an individual mental health provider in Brooklyn, New York and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2026).

NPPES Registry Identity

NPI1215639737
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJENNIFER RHOADES
Location Address790 BROADWAYBrooklyn, NY 11206-5316
Mailing Address790 BroadwayBrooklyn, NY 11206-5316 · (718) 388-5175
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateMarch 20, 2023
Last NPPES UpdateApril 17, 2023
NPPES CertifiedApril 17, 2023
✔ NPI 1215639737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
790 BROADWAY, Brooklyn, NY 11206

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Rhoades is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2062990260
PECOS Enrollment IDI20260129002351
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 Jennifer Rhoades reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Case Management
1623 KINGS HWY
Brooklyn, NY 11229
  • Reassigned Medicare billing, New York enrollment
  • 306 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.

Nurse Practitioner (Psychiatric/Mental Health)
790 BROADWAY
BROOKLYN, NY 11206
Social Worker
790 BROADWAY
BROOKLYN, NY 11206
Counselor (Mental Health)
790 BROADWAY
BROOKLYN, NY 11206
Counselor
790 BROADWAY
BROOKLYN, NY 11206
Counselor (Mental Health)
790 BROADWAY
BROOKLYN, NY 11206
Counselor (Mental Health)
790 BROADWAY
BROOKLYN, NY 11206
Social Worker (Clinical)
790 BROADWAY
BROOKLYN, NY 11206
Counselor (Mental Health)
790 BROADWAY
BROOKLYN, NY 11206

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 Jennifer Rhoades's NPI number?

The NPI number for Jennifer Rhoades is 1215639737. It was assigned to this individual provider in the NPPES registry on March 20, 2023.

Where is Jennifer Rhoades located?

Jennifer Rhoades practices at 790 Broadway, Brooklyn, NY 11206. The listed phone number is (718) 388-5175.

What is Jennifer Rhoades's specialty?

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

Is Jennifer Rhoades enrolled in Medicare?

Yes. Jennifer Rhoades is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jennifer Rhoades's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Rhoades reassigns Medicare benefits to Interborough Developmental And Consultation Center, Inc. (Brooklyn, 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 Jennifer Rhoades'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 Jennifer Rhoades was last updated on April 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.