TANISA BANCROFT-RIVERA
NPI 1477068807
Counselor - Mental Health in Buffalo, NY

Active since December 07, 2017PECOS EnrolledAccepts Medicare Assignment
1280 MAIN ST, BUFFALO, NY 14209(716) 884-5797(716) 882-0293 Get Directions Write a Review

NPPES record last updated: September 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 7, 2023, May 10, 2022, Dec 7, 2017 (3 updates tracked since 2017).

About Tanisa Bancroft-rivera NPPES

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

TANISA BANCROFT-RIVERA (NPI 1477068807) is an individual mental health provider in Buffalo, New York, licensed in New York (013897) and active in the NPI registry since December 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1477068807
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameTANISA BANCROFT-RIVERA
Location Address1280 MAIN STBuffalo, NY 14209-1912
Mailing Address227 Thorn AveOrchard Park, NY 14127-2600 · (716) 662-2040 · Fax (716) 662-0019
Fax(716) 882-0293
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateDecember 7, 2017
Last NPPES UpdateSeptember 13, 20233 updates tracked since enumeration
NPPES CertifiedSeptember 13, 2023
NPI 1477068807 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 · 013897
1280 MAIN ST, Buffalo, NY 14209

Accepted Insurance

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

Tanisa Bancroft-rivera 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 ID1557884418
PECOS Enrollment IDI20250401001895
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 20

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

Counselor
1280 MAIN ST
BUFFALO, NY 14209
Case Manager/Care Coordinator
1280 MAIN ST
BUFFALO, NY 14209
Case Manager/Care Coordinator
1280 MAIN ST
BUFFALO, NY 14209
Counselor
1280 MAIN ST
BUFFALO, NY 14209
Counselor (Mental Health)
1280 MAIN ST, 3RD FLOOR
BUFFALO, NY 14209
Registered Nurse
1280 MAIN ST
BUFFALO, NY 14209
Counselor (Mental Health)
1280 MAIN ST, SPECTRUM HUMAN SERVICES
BUFFALO, NY 14209
Case Manager/Care Coordinator
1280 MAIN ST
BUFFALO, NY 14209

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 Tanisa Bancroft-rivera's NPI number?

The NPI number for Tanisa Bancroft-rivera is 1477068807. It was assigned to this individual provider in the NPPES registry on December 7, 2017.

Where is Tanisa Bancroft-rivera located?

Tanisa Bancroft-rivera practices at 1280 Main St, Buffalo, NY 14209. The listed phone number is (716) 884-5797.

What is Tanisa Bancroft-rivera's specialty?

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

Is Tanisa Bancroft-rivera enrolled in Medicare?

Yes. Tanisa Bancroft-rivera is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Tanisa Bancroft-rivera accept?

Health plans from Providence Health Plan list Tanisa Bancroft-rivera 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 Tanisa Bancroft-rivera was last updated on September 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.