GISELLA PATRICIA TAVAREZ LMHC
NPI 1669060646
Counselor - Mental Health in New York, NY
About Gisella Patricia Tavarez Lmhc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GISELLA PATRICIA TAVAREZ LMHC (NPI 1669060646) is an individual mental health provider in New York, New York and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Gisella Patricia Tavarez Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Gisella Tavarez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Staten Island, NY 10310
- Reassigned Medicare billing, New York enrollment
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 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEW YORK, NY 10031
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 Gisella Tavarez's NPI number?
The NPI number for Gisella Tavarez is 1669060646. It was assigned to this individual provider in the NPPES registry on January 6, 2021.
Where is Gisella Tavarez located?
Gisella Tavarez practices at 1865 Amsterdam Ave, New York, NY 10031. The listed phone number is (212) 234-2653.
What is Gisella Tavarez's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Gisella Tavarez enrolled in Medicare?
Yes. Gisella Tavarez is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Gisella Tavarez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gisella Tavarez reassigns Medicare benefits to Guided Therapy Mental Health Counseling PLLC (Staten Island, NY). The 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 Gisella Tavarez'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 Gisella Tavarez was last updated on January 6, 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.
# Gisella Patricia Tavarez, LMHC · NPI 1669060646
Mental Health provider in New York, New York. Individual provider, active in the CMS NPPES registry since January 6, 2021.
## Identity
- **NPI:** 1669060646 (Entity type: Individual)
- **Enumerated:** January 6, 2021
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1865 AMSTERDAM AVE, New York, NY 10031-1716
- **Phone:** (212) 234-2653
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Guided Therapy Mental Health Counseling PLLC (NPI 1154269439, Staten Island, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 6, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1669060646) · Data from the CMS NPPES public registry.