RACQUEL LEWIS
NPI 1679950745
Counselor - Mental Health in Brooklyn, NY

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

Active since April 28, 2015PECOS EnrolledAccepts Medicare Assignment

455 SUTTER AVE, BROOKLYN, NY 11212(718) 765-6550(347) 620-9739 Get Directions Write a Review

NPPES record last updated: January 27, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Racquel Lewis NPPES

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

RACQUEL LEWIS (NPI 1679950745) is an individual mental health provider in Brooklyn, New York and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in New York, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1679950745

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameRACQUEL LEWIS

Location Address455 SUTTER AVEBrooklyn, NY 11212-8111

Mailing AddressPo Box 746087Atlanta, GA 30374-6087 · (312) 733-9730

Phone(718) 765-6550

Fax(347) 620-9739

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateApril 28, 2015

Last NPPES UpdateJanuary 27, 2025

NPPES CertifiedJanuary 27, 2025

✔ NPI 1679950745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

455 SUTTER AVE, Brooklyn, NY 11212

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Secondary Practice Location 1

Location 12369 2nd AveNew York, NY 10035-3108 · Phone (212) 876-2300 ext. 115

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

Racquel Lewis 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 ID5294256095

PECOS Enrollment IDI20250310002268

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.