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DEREK GONCALVES
NPI 1245638675
Counselor - Mental Health in Fall River, MA

Active since December 17, 2014PECOS EnrolledAccepts Medicare Assignment
1565 N MAIN ST STE 205, FALL RIVER, MA 02720(508) 324-0328 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Derek Goncalves NPPES

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

DEREK GONCALVES (NPI 1245638675) is an individual mental health provider in Fall River, Massachusetts and active in the NPI registry since December 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1245638675
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameDEREK GONCALVES
Location Address1565 N MAIN ST STE 205Fall River, MA 02720-2972
Mailing Address1565 N Main St Ste 205Fall River, MA 02720-2972 · (508) 324-0328
Phone(508) 324-0328
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateDecember 17, 2014
Last NPPES UpdateMay 6, 2026
NPPES CertifiedMay 6, 2026
✔ NPI 1245638675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1565 N MAIN ST STE 205, Fall River, MA 02720
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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

Derek Goncalves 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 ID4486007614
PECOS Enrollment IDI20240124001990
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 Derek Goncalves reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sb Transitional Sub, LLC
23 mi
Mental Health (Including Community Mental Health Center)
1115 W CHESTNUT ST
Brockton, MA 02301
  • Reassigned Medicare billing, Massachusetts enrollment
  • 120 clinicians in this Medicare group
NPI 1962091173 (508) 521-2200

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.

KYLEE ALMEIDA
Counselor (Mental Health)
1565 N MAIN ST STE 205
FALL RIVER, MA 02720
Bristol County (508) 324-0328
DR. MADISON TAYLOR FONSECA-KEMP OTR
Occupational Therapist (Pediatrics)
1565 N MAIN ST STE 205
FALL RIVER, MA 02720
Bristol County (508) 324-1060
ALYSSA LOPES
Social Worker (Clinical)
1565 N MAIN ST STE 205
FALL RIVER, MA 02720
Bristol County (508) 324-1060
JEWEL GODDU
Behavior Technician
1565 N MAIN ST STE 205
FALL RIVER, MA 02720
Bristol County (774) 992-4981
JACOB ANTHONY DOMINGUEZ-GARCIA
Community Health Worker
1565 N MAIN ST STE 205
FALL RIVER, MA 02720
Bristol County (987) 248-8938
CHRISTEL S SAMEDI
Developmental Therapist
1565 N MAIN ST STE 205
FALL RIVER, MA 02720
Bristol County (508) 324-0328
MISS ERIKA JORDYN SEMEDO
Counselor
1565 N MAIN ST STE 205
FALL RIVER, MA 02720
Bristol County (508) 324-0328
MCKENZIE LYNN OFFLEY
Community Health Worker
1565 N MAIN ST STE 205
FALL RIVER, MA 02720
Bristol County (508) 324-0328

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 Derek Goncalves's NPI number?

The NPI number for Derek Goncalves is 1245638675. It was assigned to this individual provider in the NPPES registry on December 17, 2014.

Where is Derek Goncalves located?

Derek Goncalves practices at 1565 N Main St Ste 205, Fall River, MA 02720. The listed phone number is (508) 324-0328.

What is Derek Goncalves's specialty?

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

Is Derek Goncalves enrolled in Medicare?

Yes. Derek Goncalves 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 organization bills Medicare for Derek Goncalves's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Derek Goncalves reassigns Medicare benefits to Sb Transitional Sub, LLC (Brockton, MA). 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 Derek Goncalves'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 Derek Goncalves was last updated on May 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.