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NANCY ELIZABETH PENA-NOLASCO
NPI 1639751233
Counselor - Mental Health in Brooklyn, NY

Active since April 22, 2021PECOS EnrolledAccepts Medicare Assignment
1623 KINGS HWY, BROOKLYN, NY 11229(718) 954-3800 Get Directions Write a Review

NPPES record last updated: April 22, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Nancy Elizabeth Pena-nolasco NPPES

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

NANCY ELIZABETH PENA-NOLASCO (NPI 1639751233) is an individual mental health provider in Brooklyn, New York, licensed in (0) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1639751233
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameNANCY ELIZABETH PENA-NOLASCO
Location Address1623 KINGS HWYBrooklyn, NY 11229-1209
Mailing Address1623 Kings HwyBrooklyn, NY 11229-1209 · (718) 954-3800
Phone(718) 954-3800
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 22, 2021
NPPES CertifiedApril 22, 2021
✔ NPI 1639751233 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 · 0
1623 KINGS HWY, Brooklyn, NY 11229
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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

Nancy Elizabeth Pena-nolasco 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 ID5890220065
PECOS Enrollment IDI20241125002064
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 Nancy Pena-nolasco reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Interborough Developmental And Consultation Center, Inc.
Same address
Case Management
1623 KINGS HWY
Brooklyn, NY 11229
  • Reassigned Medicare billing, New York enrollment
  • 306 clinicians in this Medicare group
NPI 1588611842 (718) 375-1200
Tmr Mental Health Care PC
21 mi
Multi-Specialty
835 MAIN ST
Hackensack, NJ 07601
  • Reassigned Medicare billing, New York enrollment
  • 11 clinicians in this Medicare group
NPI 1982238184 (201) 678-1802

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 20

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

ANASTASIYA ABRAMOV LMSW
Social Worker
1623 KINGS HWY
BROOKLYN, NY 11229
Kings County (718) 375-1200
BRENDA GOTTESMAN
Counselor (Mental Health)
1623 KINGS HWY
BROOKLYN, NY 11229
Kings County (718) 954-3800
SHEINA SCHOCHET MHC
Counselor (Mental Health)
1623 KINGS HWY
BROOKLYN, NY 11229
Kings County (718) 954-3800
ELIANA SIMON
Counselor (Mental Health)
1623 KINGS HWY
BROOKLYN, NY 11229
Kings County (718) 954-3800
LESLIE CAMPBELL MHC
Counselor (Mental Health)
1623 KINGS HWY
BROOKLYN, NY 11229
Kings County (718) 954-3800
YULIYA MURASHOVA
Social Worker (Clinical)
1623 KINGS HWY
BROOKLYN, NY 11229
Kings County (718) 954-3800
ROMA S DUNBAR PEER ADVOCATE
Peer Specialist
1623 KINGS HWY
BROOKLYN, NY 11229
Kings County (929) 273-7601
AALIYAH SCOTT LMSW
Social Worker
1623 KINGS HWY
BROOKLYN, NY 11229
Kings County (929) 273-7601

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 Nancy Pena-nolasco's NPI number?

The NPI number for Nancy Pena-nolasco is 1639751233. It was assigned to this individual provider in the NPPES registry on April 22, 2021.

Where is Nancy Pena-nolasco located?

Nancy Pena-nolasco practices at 1623 Kings Hwy, Brooklyn, NY 11229. The listed phone number is (718) 954-3800.

What is Nancy Pena-nolasco's specialty?

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

Is Nancy Pena-nolasco enrolled in Medicare?

Yes. Nancy Pena-nolasco 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 Nancy Pena-nolasco's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nancy Pena-nolasco reassigns Medicare benefits to 2 organizations: Interborough Developmental And Consultation Center, Inc. (Brooklyn, NY) and Tmr Mental Health Care PC (Hackensack, NJ). 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 Nancy Pena-nolasco'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 Nancy Pena-nolasco was last updated on April 22, 2021. 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.