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JEAN-RALPH PETIDO LMHC
NPI 1508611625
Counselor - Mental Health in Mount Vernon, NY

Active since April 22, 2024PECOS EnrolledAccepts Medicare Assignment
2 WILSON PL FL 2, MOUNT VERNON, NY 10550(914) 668-9124(914) 668-0940 Get Directions Write a Review

NPPES record last updated: May 2, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 2, 2024, Apr 22, 2024 (2 updates tracked since 2024).

About Jean-ralph Petido Lmhc NPPES

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

JEAN-RALPH PETIDO LMHC (NPI 1508611625) is an individual mental health provider in Mount Vernon, New York, licensed in New York (014622) and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1508611625
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJEAN-RALPH PETIDOCredential: LMHC
Location Address2 WILSON PL FL 2Mount Vernon, NY 10550-2602
Mailing Address43 Underhill Rd Apt 4Middletown, NY 10940-9445 · (845) 480-4131
Phone(914) 668-9124
Fax(914) 668-0940
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 22, 2024
Last NPPES UpdateMay 2, 20242 updates tracked since enumeration
NPPES CertifiedMay 2, 2024
✔ NPI 1508611625 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 · 014622
2 WILSON PL FL 2, Mount Vernon, NY 10550
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jean-ralph Petido Lmhc 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 ID3476093634
PECOS Enrollment IDI20240913003257
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

3

Medicare enrollment records show Jean-ralph Petido reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Che Senior Psychological Services, PC
17 mi
Clinical
300 CADMAN PLZ W
Brooklyn, NY 11201
  • Reassigned Medicare billing, New York enrollment
  • 457 clinicians in this Medicare group
NPI 1023078219 (888) 515-3834
Knapp Street Psychiatry, PC
22 mi
Clinical
2433 KNAPP ST STE 306
Brooklyn, NY 11235
  • Reassigned Medicare billing, New York enrollment
  • 436 clinicians in this Medicare group
NPI 1043248776 (888) 515-3834
Beacon Place LLC
34 mi
Adult Day Care
583 STATE ROUTE 32, 5U
Highland Mills, NY 10930
  • Reassigned Medicare billing, New York enrollment
  • 23 clinicians in this Medicare group
NPI 1326429630 (845) 928-2642

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
11 services11 patients

Other Providers at the Same Location NPPES

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

GENEROSE EUPHRASIA JOHNSON LMHC
Counselor (Mental Health)
2 WILSON PL FL 2
MOUNT VERNON, NY 10550
Westchester County (914) 668-9124

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 Jean-ralph Petido's NPI number?

The NPI number for Jean-ralph Petido is 1508611625. It was assigned to this individual provider in the NPPES registry on April 22, 2024.

Where is Jean-ralph Petido located?

Jean-ralph Petido practices at 2 Wilson Pl Fl 2, Mount Vernon, NY 10550. The listed phone number is (914) 668-9124.

What is Jean-ralph Petido's specialty?

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

Is Jean-ralph Petido enrolled in Medicare?

Yes. Jean-ralph Petido 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.

Which organizations bill Medicare for Jean-ralph Petido's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jean-ralph Petido reassigns Medicare benefits to 3 organizations: Che Senior Psychological Services, PC (Brooklyn, NY), Knapp Street Psychiatry, PC (Brooklyn, NY) and Beacon Place LLC (Highland Mills, 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 Jean-ralph Petido'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 Jean-ralph Petido was last updated on May 2, 2024. 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.