MILES ALVES WILLIS
NPI 1235822230
Counselor - Mental Health in New York, NY

Active since May 26, 2023PECOS Enrolled
850 7TH AVE STE 1106, NEW YORK, NY 10019(646) 797-4340(646) 205-8238 Get Directions Write a Review

NPPES record last updated: August 14, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 14, 2026, Sep 13, 2024, May 26, 2023 (3 updates tracked since 2023).

About Miles Alves Willis NPPES

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

MILES ALVES WILLIS (NPI 1235822230) is an individual mental health provider in New York, New York and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1235822230
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMILES ALVES WILLIS
Location Address850 7TH AVE STE 1106New York, NY 10019-0029
Mailing Address850 7th Ave Ste 1106New York, NY 10019-0029 · (646) 797-4340 · Fax (646) 205-8238
Fax(646) 205-8238
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMay 26, 2023
Last NPPES UpdateAugust 14, 20263 updates tracked since enumeration
NPPES CertifiedAugust 14, 2026
✔ NPI 1235822230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
850 7TH AVE STE 1106, New York, NY 10019

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miles Alves Willis is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7810456589
PECOS Enrollment IDI20260825000032
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 Miles Willis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
850 7TH AVE STE 1106
New York, NY 10019
  • Reassigned Medicare billing, New York enrollment
  • 12 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 (Clinical)
850 7TH AVE STE 1106
NEW YORK, NY 10019
Social Worker
850 7TH AVE STE 1106
NEW YORK, NY 10019
Social Worker (Clinical)
850 7TH AVE STE 1106
NEW YORK, NY 10019
Social Worker (Clinical)
850 7TH AVE STE 1106
NEW YORK, NY 10019
Social Worker
850 7TH AVE STE 1106
NEW YORK, NY 10019
Counselor (Mental Health)
850 7TH AVE STE 1106
NEW YORK, NY 10019
Clinic/Center (Mental Health (Including Community Mental Health Center))
850 7TH AVE STE 1106
NEW YORK, NY 10019
Counselor (Mental Health)
850 7TH AVE STE 1106
NEW YORK, NY 10019

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 Miles Willis's NPI number?

The NPI number for Miles Willis is 1235822230. It was assigned to this individual provider in the NPPES registry on May 26, 2023.

Where is Miles Willis located?

Miles Willis practices at 850 7th Ave Ste 1106, New York, NY 10019. The listed phone number is (646) 797-4340.

What is Miles Willis's specialty?

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

Is Miles Willis enrolled in Medicare?

Yes. Miles Willis is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Miles Willis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Miles Willis reassigns Medicare benefits to Jesse Kahn Lcsw PLLC (New York, 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 Miles Willis'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 Miles Willis was last updated on August 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.