MIRA VASJARI
NPI 1376140467
Counselor - Mental Health in Ridgewood, NY
About Mira Vasjari NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MIRA VASJARI (NPI 1376140467) is an individual mental health provider in Ridgewood, New York and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mira Vasjari is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Mira Vasjari reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Glen Head, NY 11545
- Reassigned Medicare billing, New York enrollment
- 2 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 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
RIDGEWOOD, NY 11385
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 Mira Vasjari's NPI number?
The NPI number for Mira Vasjari is 1376140467. It was assigned to this individual provider in the NPPES registry on October 2, 2020.
Where is Mira Vasjari located?
Mira Vasjari practices at 5913 Grove St, Ridgewood, NY 11385. The listed phone number is (646) 456-0819.
What is Mira Vasjari's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Mira Vasjari enrolled in Medicare?
Yes. Mira Vasjari is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Mira Vasjari's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mira Vasjari reassigns Medicare benefits to Chanel V. Tazza, Mental Health Counseling, P.C. (Glen Head, 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 Mira Vasjari'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 Mira Vasjari was last updated on October 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Mira Vasjari · NPI 1376140467
Mental Health provider in Ridgewood, New York. Individual provider, active in the CMS NPPES registry since October 2, 2020.
## Identity
- **NPI:** 1376140467 (Entity type: Individual)
- **Enumerated:** October 2, 2020
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** No
## Practice location
- **Address:** 5913 GROVE ST, Ridgewood, NY 11385-2647
- **Phone:** (646) 456-0819
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Chanel V. Tazza, Mental Health Counseling, P.C. (NPI 1386114692, Glen Head, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 2, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1376140467) · Data from the CMS NPPES public registry.