1. Home
  2. Directory
  3. New York
  4. New York New York
  5. Counselor
  6. NPI Profile

COLOMBAGE ASHA DE COSTA LMHC, ED.M
NPI 1629675194
Counselor - Mental Health in New York, NY

Active since October 07, 2020Opted out of Medicare · through Jan 1, 2028
106 FORT WASHINGTON AVE APT 3K, NEW YORK, NY 10032(917) 406-4015 Get Directions Write a Review

NPPES record last updated: November 10, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 10, 2020, Oct 7, 2020 (2 updates tracked since 2020).

About Colombage Asha De Costa Lmhc, Ed.m NPPES

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

COLOMBAGE ASHA DE COSTA LMHC, ED.M (NPI 1629675194) is an individual mental health provider in New York, New York, licensed in New York (0086741-1) and active in the NPI registry since October 2020. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1629675194
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCOLOMBAGE ASHA DE COSTACredential: LMHC, ED.M
Location Address106 FORT WASHINGTON AVE APT 3KNew York, NY 10032-4723
Mailing Address106 Fort Washington Ave Apt 3kNew York, NY 10032-4723 · (917) 406-4015
Phone(917) 406-4015
Sole ProprietorYes
Enumeration DateOctober 7, 2020
Last NPPES UpdateNovember 10, 20202 updates tracked since enumeration
NPPES CertifiedNovember 10, 2020
✔ NPI 1629675194 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 · 0086741-1
106 FORT WASHINGTON AVE APT 3K, New York, NY 10032
Open in Google Maps ↗

Other Names 1

Other Name (5)Asha De Costa Lmhc, Ed.m

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Colombage Asha De Costa Lmhc, Ed.m has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Colombage De Costa's NPI number?

The NPI number for Colombage De Costa is 1629675194. It was assigned to this individual provider in the NPPES registry on October 7, 2020. The provider is also known as Asha De Costa Lmhc, Ed.M.

Where is Colombage De Costa located?

Colombage De Costa practices at 106 Fort Washington Ave Apt 3K, New York, NY 10032. The listed phone number is (917) 406-4015.

What is Colombage De Costa's specialty?

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

Is Colombage De Costa enrolled in Medicare?

No. Colombage De Costa has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Colombage De Costa was last updated on November 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.