JEISY MITRE LCSW
NPI 1790321354
Social Worker - Clinical in Northfield, NJ

Active since November 19, 2019PECOS EnrolledAccepts Medicare Assignment
561 TILTON RD, NORTHFIELD, NJ 08225(609) 267-5656 Get Directions Write a Review

NPPES record last updated: March 31, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 31, 2023, Nov 19, 2019 (2 updates tracked since 2019).

About Jeisy Mitre Lcsw NPPES

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

JEISY MITRE LCSW (NPI 1790321354) is an individual clinical provider in Northfield, New Jersey, licensed in New Jersey (44SC06180500) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1790321354
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJEISY MITRECredential: LCSW
Location Address561 TILTON RDNorthfield, NJ 08225-1217
Mailing Address327 Upas AveGalloway, NJ 08205-4684 · (609) 816-0523
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateNovember 19, 2019
Last NPPES UpdateMarch 31, 20232 updates tracked since enumeration
NPPES CertifiedMarch 31, 2023
✔ NPI 1790321354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NJ · 44SC06180500
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
561 TILTON RD, Northfield, NJ 08225

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

Jeisy Mitre Lcsw 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 ID5294190385
PECOS Enrollment IDI20230425000365
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

3

Medicare enrollment records show Jeisy Mitre reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Clinical
100 CHARLES EWING BLVD STE 160
Ewing, NJ 08628
  • Reassigned Medicare billing, New Jersey enrollment
  • 27 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
2578 BROADWAY # 607
New York, NY 10025
  • Reassigned Medicare billing, New Jersey enrollment
  • 34 clinicians in this Medicare group
Mental Health (Including Community Mental Health Center)
2578 BROADWAY # 607
New York, NY 10025
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 29 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08225 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $61.59 – $185.05
Typical copayment $0.00 (range $15.39 – $46.26)
Most-billed visit code NA
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 15

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

Social Worker
561 TILTON RD
NORTHFIELD, NJ 08225
Counselor (Mental Health)
561 TILTON RD
NORTHFIELD, NJ 08225
Case Manager/Care Coordinator
561 TILTON RD
NORTHFIELD, NJ 08225
Social Worker
561 TILTON RD
NORTHFIELD, NJ 08225
Social Worker
561 TILTON RD
NORTHFIELD, NJ 08225
Social Worker
561 TILTON RD
NORTHFIELD, NJ 08225
Counselor (Professional)
561 TILTON RD
NORTHFIELD, NJ 08225
Social Worker
561 TILTON RD
NORTHFIELD, NJ 08225

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 Jeisy Mitre's NPI number?

The NPI number for Jeisy Mitre is 1790321354. It was assigned to this individual provider in the NPPES registry on November 19, 2019.

Where is Jeisy Mitre located?

Jeisy Mitre practices at 561 Tilton Rd, Northfield, NJ 08225. The listed phone number is (609) 267-5656.

What is Jeisy Mitre's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Jeisy Mitre enrolled in Medicare?

Yes. Jeisy Mitre 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 Jeisy Mitre's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jeisy Mitre reassigns Medicare benefits to 3 organizations: Meditelecare Of New Jersey LLC (Ewing, NJ), Talkspace Behavioral Health Services Nj, PC (New York, NY) and Talkspace Provider Network PA (New York, NY). 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 Jeisy Mitre'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 Jeisy Mitre was last updated on March 31, 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.