KENNETH FLIESSER LCSW PC
NPI 1497118350
Clinic/Center - Adult Mental Health in Pomona, NY
About Kenneth Fliesser Lcsw Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENNETH FLIESSER LCSW PC (NPI 1497118350) is a healthcare organization registered as an adult mental health in Pomona, New York and active in the NPI registry since March 2016. The organization lists Kenneth Howard Fliesser, President/treasurer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kenneth Fliesser Lcsw Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Kenneth Fliesser Lcsw PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Kenneth Fliesser Lcsw PC's NPI number?
The NPI number for Kenneth Fliesser Lcsw PC is 1497118350. It was assigned to this organization in the NPPES registry on March 29, 2016.
Where is Kenneth Fliesser Lcsw PC located?
Kenneth Fliesser Lcsw PC is located at 978 Route 45, Pomona, NY 10970. The listed phone number is (845) 709-8938.
What is Kenneth Fliesser Lcsw PC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.
Is Kenneth Fliesser Lcsw PC enrolled in Medicare?
Yes. Kenneth Fliesser Lcsw PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Kenneth Fliesser Lcsw PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Kenneth Fliesser Lcsw PC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Kenneth Fliesser Lcsw PC was last updated on March 29, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Kenneth Fliesser Lcsw Pc · NPI 1497118350
Adult Mental Health organization in Pomona, New York. Organization record, active in the CMS NPPES registry since March 29, 2016.
## Identity
- **NPI:** 1497118350 (Entity type: Organization)
- **Enumerated:** March 29, 2016
- **Primary specialty:** Clinic/Center - Adult Mental Health · taxonomy 261QM0850X
- **Organization subpart:** No
- **Authorized official:** Kenneth Fliesser, PRESIDENT/TREASURER
## Practice location
- **Address:** 978 ROUTE 45, Pomona, NY 10970-3521
- **Phone:** (845) 709-8938 · **Fax:** (845) 678-1889
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Social Worker) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 29, 2016
- **Other identifiers:** Medicare UPIN A30072727 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1497118350) · Data from the CMS NPPES public registry.