DYLAN CARNEY
NPI 1356063788
Counselor - Mental Health in Philadelphia, PA

Active since September 13, 2022PECOS Enrolled
1523 ELLSWORTH ST UNIT 1, PHILADELPHIA, PA 19146(609) 617-2605 Get Directions Write a Review

NPPES record last updated: September 13, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dylan Carney NPPES

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

DYLAN CARNEY (NPI 1356063788) is an individual mental health provider in Philadelphia, Pennsylvania, licensed in New Jersey (37AC00602400) and active in the NPI registry since September 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1356063788
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameDYLAN CARNEY
Location Address1523 ELLSWORTH ST UNIT 1Philadelphia, PA 19146-3109
Mailing Address1523 Ellsworth St Unit 1Philadelphia, PA 19146-3109 · (609) 617-2605
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 13, 2022
NPPES CertifiedSeptember 13, 2022
✔ NPI 1356063788 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 NJ · 37AC00602400
1523 ELLSWORTH ST UNIT 1, Philadelphia, PA 19146

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID5597273300
PECOS Enrollment IDI20250804001132
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 Dylan Carney reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health (Including Community Mental Health Center)
2083 KLOCKNER RD
Hamilton, NJ 08690
  • Reassigned Medicare billing, New Jersey enrollment
  • 33 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.

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 Dylan Carney's NPI number?

The NPI number for Dylan Carney is 1356063788. It was assigned to this individual provider in the NPPES registry on September 13, 2022.

Where is Dylan Carney located?

Dylan Carney practices at 1523 Ellsworth St Unit 1, Philadelphia, PA 19146. The listed phone number is (609) 617-2605.

What is Dylan Carney's specialty?

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

Is Dylan Carney enrolled in Medicare?

Yes. Dylan Carney is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Dylan Carney's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dylan Carney reassigns Medicare benefits to Mind Your Mind (Hamilton, NJ). 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 Dylan Carney'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 Dylan Carney was last updated on September 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.