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JACQUELINE KOTORIY
NPI 1699464537
Counselor - Mental Health in Chelsea, MA

Active since May 05, 2023PECOS EnrolledAccepts Medicare Assignment
70 EVERETT AVE STE 515, CHELSEA, MA 02150(617) 466-6650 Get Directions Write a Review

NPPES record last updated: May 5, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jacqueline Kotoriy NPPES

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

JACQUELINE KOTORIY (NPI 1699464537) is an individual mental health provider in Chelsea, Massachusetts and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1699464537
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJACQUELINE KOTORIY
Location Address70 EVERETT AVE STE 515Chelsea, MA 02150-2363
Mailing Address70 Everett Ave Ste 515Chelsea, MA 02150-2363
Phone(617) 466-6650
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMay 5, 2023
NPPES CertifiedApril 27, 2023
✔ NPI 1699464537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
70 EVERETT AVE STE 515, Chelsea, MA 02150
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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

Jacqueline Kotoriy 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 ID8426539966
PECOS Enrollment IDI20260224000348
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 Reassignment

Medicare enrollment records show Jacqueline Kotoriy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sb Transitional Sub, LLC
23 mi
Mental Health (Including Community Mental Health Center)
1115 W CHESTNUT ST
Brockton, MA 02301
  • Reassigned Medicare billing, Massachusetts enrollment
  • 120 clinicians in this Medicare group
NPI 1962091173 (508) 521-2200

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.

KAREN ALEJANDRA SALAZAR
Counselor (Mental Health)
70 EVERETT AVE STE 515
CHELSEA, MA 02150
Suffolk County (617) 466-6650
RACHEL LYNN SCHWARTZ
Counselor (Mental Health)
70 EVERETT AVE STE 515
CHELSEA, MA 02150
Suffolk County (617) 466-6650
BENITA VALES
Counselor (Mental Health)
70 EVERETT AVE STE 515
CHELSEA, MA 02150
Suffolk County (617) 466-6650
IVAN O'FARRELL
Counselor (Mental Health)
70 EVERETT AVE STE 515
CHELSEA, MA 02150
Suffolk County (508) 521-2200
HEIDI GONZALEZ
Community/Behavioral Health
70 EVERETT AVE STE 515
CHELSEA, MA 02150
Suffolk County (774) 512-2805
SAMANTHA RENEE RENTON
Counselor (Mental Health)
70 EVERETT AVE STE 515
CHELSEA, MA 02150
Suffolk County (617) 466-6650
JARAN STALLBAUM MA
Counselor (Mental Health)
70 EVERETT AVE STE 515
CHELSEA, MA 02150
Suffolk County (617) 466-6650
BARAN SCH. KAMYAB
Counselor (Mental Health)
70 EVERETT AVE STE 515
CHELSEA, MA 02150
Suffolk County (617) 466-6650

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 Jacqueline Kotoriy's NPI number?

The NPI number for Jacqueline Kotoriy is 1699464537. It was assigned to this individual provider in the NPPES registry on May 5, 2023.

Where is Jacqueline Kotoriy located?

Jacqueline Kotoriy practices at 70 Everett Ave Ste 515, Chelsea, MA 02150. The listed phone number is (617) 466-6650.

What is Jacqueline Kotoriy's specialty?

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

Is Jacqueline Kotoriy enrolled in Medicare?

Yes. Jacqueline Kotoriy 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 organization bills Medicare for Jacqueline Kotoriy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Kotoriy reassigns Medicare benefits to Sb Transitional Sub, LLC (Brockton, MA). 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 Jacqueline Kotoriy'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 Jacqueline Kotoriy was last updated on May 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.