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

Active since December 07, 2017PECOS Enrolled
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: November 01, 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.

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
Phone(716) 884-5797
Fax(716) 882-0293
Sole ProprietorNo
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
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tanisa Bancroft-rivera is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

2

Medicare enrollment records show Tanisa Bancroft-rivera reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Professional Medical Concierge Services, PLLC
256 mi
Family Medicine
37 FRIAR TUCK WAY
Saratoga Springs, NY 12866
  • Reassigned Medicare billing, New York enrollment
  • 127 clinicians in this Medicare group
NPI 1841812310 (518) 238-6028
Valera Medical, P.C.
295 mi
Psychiatry
134 N 4TH ST
Brooklyn, NY 11249
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Valera Medical PC
  • 315 clinicians in this Medicare group
NPI 1437782349 (646) 450-7748

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.

KELLY GORDON
Counselor
1280 MAIN ST
BUFFALO, NY 14209
Erie County (716) 882-4357
SIOBOHN ROUSE
Case Manager/Care Coordinator
1280 MAIN ST
BUFFALO, NY 14209
Erie County (716) 884-5797
SHALINA M BAILEY
Case Manager/Care Coordinator
1280 MAIN ST
BUFFALO, NY 14209
Erie County (716) 884-5797
TAKISHA BROWN
Counselor
1280 MAIN ST
BUFFALO, NY 14209
Erie County (716) 884-5797
ANGELA ZAK
Counselor (Mental Health)
1280 MAIN ST, 3RD FLOOR
BUFFALO, NY 14209
Erie County (716) 832-1251
KRISTINA MARIE MOORE RPN
Registered Nurse
1280 MAIN ST
BUFFALO, NY 14209
Erie County (716) 884-5797
ELIZABETH HALEY LMHC, CASAC
Counselor (Mental Health)
1280 MAIN ST, SPECTRUM HUMAN SERVICES
BUFFALO, NY 14209
Erie County (716) 842-6713
JESSICA CURRY
Case Manager/Care Coordinator
1280 MAIN ST
BUFFALO, NY 14209
Erie County (716) 884-5797

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 enrollment system.

Which organizations bill Medicare for Tanisa Bancroft-rivera's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tanisa Bancroft-rivera reassigns Medicare benefits to 2 organizations: Professional Medical Concierge Services, PLLC (Saratoga Springs, NY) and Valera Medical, P.C. (Brooklyn, NY). Each 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 Tanisa Bancroft-rivera's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tanisa Bancroft-rivera accept?

Health plans from Oscar Health 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 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.