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MS. BETTY CORNELIA GHOLSTON LMHC
NPI 1629825690
Counselor - Mental Health in Brooklyn, NY

Active since May 06, 2024PECOS EnrolledAccepts Medicare Assignment
180 LIVINGSTON ST FL 3, BROOKLYN, NY 11201(917) 485-7426(718) 237-0224 Get Directions Write a Review

NPPES record last updated: August 8, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 8, 2025, May 6, 2024 (2 updates tracked since 2024).

About Ms. Betty Cornelia Gholston Lmhc NPPES

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

MS. BETTY CORNELIA GHOLSTON LMHC (NPI 1629825690) is an individual mental health provider in Brooklyn, New York, licensed in New York (014644) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1629825690
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. BETTY CORNELIA GHOLSTONCredential: LMHC
Location Address180 LIVINGSTON ST FL 3Brooklyn, NY 11201-5861
Mailing Address203 Jay St Ste 501Brooklyn, NY 11201-4398 · (347) 304-9465
Phone(917) 485-7426
Fax(718) 237-0224
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMay 6, 2024
Last NPPES UpdateAugust 8, 20252 updates tracked since enumeration
NPPES CertifiedAugust 8, 2025
✔ NPI 1629825690 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 · 014644
180 LIVINGSTON ST FL 3, Brooklyn, NY 11201
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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

Ms. Betty Cornelia Gholston 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 ID2163955238
PECOS Enrollment IDI20241028002456
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

2

Medicare enrollment records show Betty Gholston reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Total Life Nj P.A.
28 mi
Cognitive & Behavioral
317 GEORGE ST STE 320
New Brunswick, NJ 08901
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Total Life Nj PA
  • 15 clinicians in this Medicare group
NPI 1104659614 (800) 567-5433
Carmel Psychological Health, PC
51 mi
Psychologist
667 STONELEIGH AVE STE 202
Carmel, NY 10512
  • Reassigned Medicare billing, New York enrollment
  • 296 clinicians in this Medicare group
NPI 1720194335 (845) 279-5908

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

Other Providers at the Same Location NPPES

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

NY FOUNDLING
Community/Behavioral Health
180 LIVINGSTON ST FL 3
BROOKLYN, NY 11201
Kings County (718) 237-9700

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 Betty Gholston's NPI number?

The NPI number for Betty Gholston is 1629825690. It was assigned to this individual provider in the NPPES registry on May 6, 2024.

Where is Betty Gholston located?

Betty Gholston practices at 180 Livingston St Fl 3, Brooklyn, NY 11201. The listed phone number is (917) 485-7426.

What is Betty Gholston's specialty?

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

Is Betty Gholston enrolled in Medicare?

Yes. Betty Gholston 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 Betty Gholston's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Betty Gholston reassigns Medicare benefits to 2 organizations: Total Life Nj P.A. (New Brunswick, NJ) and Carmel Psychological Health, PC (Carmel, 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 Betty Gholston'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 Betty Gholston was last updated on August 8, 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.