ANDREA ISABEL TEJEDA LMHC
NPI 1477340453
Counselor - Mental Health in Port Washington, NY
About Andrea Isabel Tejeda Lmhc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANDREA ISABEL TEJEDA LMHC (NPI 1477340453) is an individual mental health provider in Port Washington, New York, licensed in New York (014844) and active in the NPI registry since April 2025. 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)
Andrea Isabel Tejeda Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Andrea Tejeda reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lloyd Harbor, NY 11743
- Reassigned Medicare billing, New York enrollment
- 25 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.
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 Andrea Tejeda's NPI number?
The NPI number for Andrea Tejeda is 1477340453. It was assigned to this individual provider in the NPPES registry on April 22, 2025.
Where is Andrea Tejeda located?
Andrea Tejeda practices at 79 Main St Ste 3, Port Washington, NY 11050. The listed phone number is (631) 885-8990.
What is Andrea Tejeda's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Andrea Tejeda enrolled in Medicare?
Yes. Andrea Tejeda is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Andrea Tejeda's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Tejeda reassigns Medicare benefits to 365 Mental Health Counseling PLLC (Lloyd Harbor, 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 Andrea Tejeda'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 Andrea Tejeda was last updated on July 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Andrea Isabel Tejeda, LMHC · NPI 1477340453
Mental Health provider in Port Washington, New York. Individual provider, active in the CMS NPPES registry since April 22, 2025.
## Identity
- **NPI:** 1477340453 (Entity type: Individual)
- **Enumerated:** April 22, 2025
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 014844 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 79 MAIN ST STE 3, Port Washington, NY 11050-2938
- **Phone:** (631) 885-8990
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 365 Mental Health Counseling PLLC (NPI 1417787904, Lloyd Harbor, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 30, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1477340453) · Data from the CMS NPPES public registry.