ALYSSA M AVILA MA, ATR
NPI 1295227676
Counselor - Mental Health in Brooklyn, NY

Q: What is Alyssa Avila's NPI number?

The NPI number for Alyssa Avila is 1295227676. It was assigned to this individual provider in the NPPES registry on June 1, 2018.

Q: What is Alyssa Avila's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Alyssa Avila was last updated on February 9, 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.

Active since June 01, 2018PECOS EnrolledAccepts Medicare Assignment

1249 NOSTRAND AVE, BROOKLYN, NY 11225(718) 765-6008(347) 682-4219 Get Directions Write a Review

NPPES record last updated: February 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 8, 2020, Jun 16, 2018 (2 updates tracked since 2018).

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About Alyssa M Avila Ma, Atr NPPES

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

ALYSSA M AVILA MA, ATR (NPI 1295227676) is an individual mental health provider in Brooklyn, New York, licensed in New York (015166) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1295227676

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameALYSSA M AVILACredential: MA, ATR

Location Address1249 NOSTRAND AVEBrooklyn, NY 11225-3844

Mailing AddressPo Box 746087Atlanta, GA 30374-6087 · (312) 733-9730

Phone(718) 765-6008

Fax(347) 682-4219

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateJune 1, 2018

Last NPPES UpdateFebruary 9, 20262 updates tracked since enumeration

NPPES CertifiedFebruary 9, 2026

✔ NPI 1295227676 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 · 015166

1249 NOSTRAND AVE, Brooklyn, NY 11225

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Secondary Practice Locations 2

Location 120 Eastbrook RdDedham, MA 02026-2075 · Phone (781) 329-9365 · Fax (781) 302-4635

Location 2455 Sutter AveBrooklyn, NY 11212-8111 · Phone (718) 765-6550 · Fax (347) 620-9739

Other Identifiers 1

Medicaid1992898035MA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Alyssa M Avila Ma, Atr 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 ID4789118472

PECOS Enrollment IDI20241118002526

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.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. PARTHIV VORA RPH

Pharmacist