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MENTAL HEALTH COUNSELING WELLNESS PRACTICE OF NEW YORK PC
NPI 1548530959
Counselor - Mental Health in New York, NY

Active since January 03, 2012
220 5TH AVE FL 11, NEW YORK, NY 10001(718) 374-6765(888) 613-0475 Get Directions Write a Review

NPPES record last updated: April 8, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 8, 2026, Dec 19, 2016 (2 updates tracked since 2016).

About Mental Health Counseling Wellness Practice Of New York Pc NPPES

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

MENTAL HEALTH COUNSELING WELLNESS PRACTICE OF NEW YORK PC (NPI 1548530959) is a healthcare organization registered as a mental health in New York, New York and active in the NPI registry since January 2012. The organization lists Isabella Davydova, Owner, as its authorized official.

NPPES Registry Identity

NPI1548530959
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameMENTAL HEALTH COUNSELING WELLNESS PRACTICE OF NEW YORK PC
Location Address220 5TH AVE FL 11New York, NY 10001-8017
Mailing Address220 5th Ave Fl 11New York, NY 10001-8017 · (718) 374-6765 · Fax (888) 613-0475
Phone(718) 374-6765
Fax(888) 613-0475
Organization SubpartNo
Authorized OfficialIsabella DavydovaOwner · (718) 374-6765
Enumeration DateJanuary 3, 2012
Last NPPES UpdateApril 8, 20262 updates tracked since enumeration
NPPES CertifiedApril 8, 2026
✔ NPI 1548530959 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NY · 0043091
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X · License 0043091 (NY)
Also ListedClinic/Center · Mental Health (Including Community Mental Health Center)Taxonomy 261QM0801X · License 004309-1 (NY)
220 5TH AVE FL 11, New York, NY 10001
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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mental Health Counseling Wellness Practice Of New York 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 Mental Health Counseling Wellness Practice Of New York PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Isabella Davydova
Mental Health Counselor
NPI 1356679070
220 5TH AVE FL 11
New York, NY 10001
(718) 374-6765
✔ PECOSSame address

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 Mental Health Counseling Wellness Practice Of New York PC's NPI number?

The NPI number for Mental Health Counseling Wellness Practice Of New York PC is 1548530959. It was assigned to this organization in the NPPES registry on January 3, 2012.

Where is Mental Health Counseling Wellness Practice Of New York PC located?

Mental Health Counseling Wellness Practice Of New York PC is located at 220 5th Ave Fl 11, New York, NY 10001. The listed phone number is (718) 374-6765.

What is Mental Health Counseling Wellness Practice Of New York PC's specialty?

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

Is Mental Health Counseling Wellness Practice Of New York PC enrolled in Medicare?

Yes. Mental Health Counseling Wellness Practice Of New York PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mental Health Counseling Wellness Practice Of New York PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Mental Health Counseling Wellness Practice Of New York 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 Mental Health Counseling Wellness Practice Of New York PC was last updated on April 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.