MRS. JACLYN MARIE DOLAN NIEVES LMHC, CASAC
NPI 1659992824
Counselor - Mental Health in Mohegan Lake, NY

Active since April 29, 2020PECOS EnrolledAccepts Medicare Assignment
1713 LAWRENCE RD, MOHEGAN LAKE, NY 10547(914) 438-5121 Get Directions Write a Review

NPPES record last updated: January 29, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Mrs. Jaclyn Marie Dolan Nieves Lmhc, Casac NPPES

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

MRS. JACLYN MARIE DOLAN NIEVES LMHC, CASAC (NPI 1659992824) is an individual mental health provider in Mohegan Lake, New York, licensed in New York (010790) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Yonkers, and is a graduate of Mercy College (2018).

NPPES Registry Identity

NPI1659992824
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. JACLYN MARIE DOLAN NIEVESCredential: LMHC, CASAC
Location Address1713 LAWRENCE RDMohegan Lake, NY 10547-1617
Mailing Address600 White Plains Rd Ste 125Tarrytown, NY 10591-5104 · (914) 440-3299
Sole ProprietorYes
Medical School CMSMercy CollegeGraduated 2018
Enumeration DateApril 29, 2020
Last NPPES UpdateJanuary 29, 2025
NPPES CertifiedJanuary 29, 2025
✔ NPI 1659992824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NY · 010790
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 34281 (NY)
1713 LAWRENCE RD, Mohegan Lake, NY 10547

Other Names 1

Former Name (1)Ms. Jaclyn Marie Dolan

Secondary Practice Location 1

Location 1317 S BroadwayYonkers, NY 10705-2008 · Phone (914) 064-0905

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Jaclyn Marie Dolan Nieves Lmhc, Casac 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 ID6901337419
PECOS Enrollment IDI20241008000758
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.

Other Providers at the Same Location NPPES

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

Psychiatry & Neurology (Psychiatry)
1713 LAWRENCE RD
MOHEGAN LAKE, NY 10547

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 Jaclyn Nieves's NPI number?

The NPI number for Jaclyn Nieves is 1659992824. It was assigned to this individual provider in the NPPES registry on April 29, 2020. The provider is also known as Ms. Jaclyn Marie Dolan.

Where is Jaclyn Nieves located?

Jaclyn Nieves practices at 1713 Lawrence Rd, Mohegan Lake, NY 10547. The listed phone number is (914) 438-5121.

What is Jaclyn Nieves's specialty?

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

Is Jaclyn Nieves enrolled in Medicare?

Yes. Jaclyn Nieves 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.

What insurance does Jaclyn Nieves accept?

Health plans from Providence Health Plan list Jaclyn Nieves as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jaclyn Nieves was last updated on January 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.