JOSE ANTONIO DESIDERIO LMHC
NPI 1477050334
Counselor - Mental Health in Staten Island, NY
About Jose Antonio Desiderio Lmhc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOSE ANTONIO DESIDERIO LMHC (NPI 1477050334) is an individual mental health provider in Staten Island, New York, licensed in New York (010079-01) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jose Antonio Desiderio Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jose Desiderio reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lynchburg, VA 24504
- Reassigned Medicare billing, New Jersey enrollment
- 138 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 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
STATEN ISLAND, NY 10312
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 Jose Desiderio's NPI number?
The NPI number for Jose Desiderio is 1477050334. It was assigned to this individual provider in the NPPES registry on April 9, 2018.
Where is Jose Desiderio located?
Jose Desiderio practices at 3285B Richmond Ave Ste 200, Staten Island, NY 10312. The listed phone number is (347) 671-7038.
What is Jose Desiderio's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Jose Desiderio enrolled in Medicare?
Yes. Jose Desiderio is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jose Desiderio's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jose Desiderio reassigns Medicare benefits to Thrive Counseling LLC (Lynchburg, VA). 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 Jose Desiderio's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jose Desiderio accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Jose Desiderio as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jose Desiderio was last updated on February 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Jose Antonio Desiderio, LMHC · NPI 1477050334
Mental Health provider in Staten Island, New York. Individual provider, active in the CMS NPPES registry since April 9, 2018.
## Identity
- **NPI:** 1477050334 (Entity type: Individual)
- **Enumerated:** April 9, 2018
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 010079-01 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 3285B RICHMOND AVE STE 200, Staten Island, NY 10312-2123
- **Phone:** (347) 671-7038
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Thrive Counseling LLC (NPI 1215181300, Lynchburg, VA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 17, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1477050334) · Data from the CMS NPPES public registry.