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MRS. DAKOTA KRISTINE TREJO-GILLIES
NPI 1467141747
Counselor - Mental Health in Syracuse, NY

Active since May 03, 2023PECOS Enrolled
719 HARRISON ST, SYRACUSE, NY 13210(315) 464-3265(315) 464-3282 Get Directions Write a Review

NPPES record last updated: July 17, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 17, 2026, Feb 8, 2026, May 3, 2023 (3 updates tracked since 2023).

About Mrs. Dakota Kristine Trejo-gillies NPPES

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

MRS. DAKOTA KRISTINE TREJO-GILLIES (NPI 1467141747) is an individual mental health provider in Syracuse, New York, licensed in New York (016413) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1467141747
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. DAKOTA KRISTINE TREJO-GILLIES
Location Address719 HARRISON STSyracuse, NY 13210-2695
Mailing Address719 Harrison StSyracuse, NY 13210-2695 · (315) 464-3265 · Fax (315) 464-3282
Phone(315) 464-3265
Fax(315) 464-3282
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMay 3, 2023
Last NPPES UpdateJuly 17, 20263 updates tracked since enumeration
NPPES CertifiedJuly 17, 2026
✔ NPI 1467141747 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 · 016413
719 HARRISON ST, Syracuse, NY 13210
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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 (PECOS)

Mrs. Dakota Kristine Trejo-gillies is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7719446442
PECOS Enrollment IDI20260824002739
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 Dakota Trejo-gillies reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychiatry Faculty Practice, Inc.
Same address
Psychiatry
713 HARRISON ST
Syracuse, NY 13210
  • Reassigned Medicare billing, New York enrollment
  • 171 clinicians in this Medicare group
NPI 1881084820 (315) 464-3119

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.

WURAOLA SOFOWOTE
Nurse Practitioner (Psychiatric/Mental Health)
719 HARRISON ST
SYRACUSE, NY 13210
Onondaga County (315) 464-3265
DR. MADISON FIRKEY PHD
Psychologist
719 HARRISON ST
SYRACUSE, NY 13210
Onondaga County (315) 464-3265
RAJAE ELKIRAMI RN, PMHNP, BCNP
Nurse Practitioner (Psychiatric/Mental Health)
719 HARRISON ST
SYRACUSE, NY 13210
Onondaga County (315) 464-3103
BREANNA LEE FELLDIN MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
719 HARRISON ST
SYRACUSE, NY 13210
Onondaga County (315) 464-3265
DEVON OOSTING PHD
Psychologist (Clinical Child & Adolescent)
719 HARRISON ST
SYRACUSE, NY 13210
Onondaga County (315) 464-3265
DUQUINHA THOMPSON
Counselor (Mental Health)
719 HARRISON ST
SYRACUSE, NY 13210
Onondaga County (315) 464-5540
KAYLIN SHAYE PELOTENIA PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
719 HARRISON ST
SYRACUSE, NY 13210
Onondaga County (315) 464-3265
MS. TAMMY L BALAMUT NP (PSYCHIATRIC NP)
Nurse Practitioner (Psychiatric/Mental Health)
719 HARRISON ST
SYRACUSE, NY 13210
Onondaga County (315) 464-3265

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 Dakota Trejo-gillies's NPI number?

The NPI number for Dakota Trejo-gillies is 1467141747. It was assigned to this individual provider in the NPPES registry on May 3, 2023.

Where is Dakota Trejo-gillies located?

Dakota Trejo-gillies practices at 719 Harrison St, Syracuse, NY 13210. The listed phone number is (315) 464-3265.

What is Dakota Trejo-gillies's specialty?

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

Is Dakota Trejo-gillies enrolled in Medicare?

Yes. Dakota Trejo-gillies is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Dakota Trejo-gillies's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dakota Trejo-gillies reassigns Medicare benefits to Psychiatry Faculty Practice, Inc. (Syracuse, 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 Dakota Trejo-gillies'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 Dakota Trejo-gillies was last updated on July 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.