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JACQUELINE MARSILLO
NPI 1811149438
Counselor - Addiction (Substance Use Disorder) in New York, NY

Active since October 14, 2008PECOS Enrolled
116 JOHN ST, NEW YORK, NY 10038(212) 385-0086(212) 732-0757 Get Directions Write a Review

NPPES record last updated: October 14, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jacqueline Marsillo NPPES

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

JACQUELINE MARSILLO (NPI 1811149438) is an individual addiction (substance use disorder) provider in New York, New York and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1811149438
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameJACQUELINE MARSILLO
Location Address116 JOHN STNew York, NY 10038-3300
Mailing Address116 John StNew York, NY 10038-3300 · (212) 385-0086 · Fax (212) 732-0757
Phone(212) 385-0086
Fax(212) 732-0757
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateOctober 14, 2008
✔ NPI 1811149438 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
116 JOHN ST, New York, NY 10038
Open in Google Maps ↗

Other Identifiers 1

Other133480517NY · Works For Cis Counseling Center, Inc.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline Marsillo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID547731135
PECOS Enrollment IDI20260604001610
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 Marsillo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

North Shore - Lij Medical PC
16 mi
Internal Medicine
270-05 76TH AVE
New Hyde Park, NY 11040
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
NPI 1790043479 (516) 465-8089

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.

WILLIE J MATTHIAS CASAC
Counselor (Addiction (Substance Use Disorder))
116 JOHN ST
NEW YORK, NY 10038
New York County (212) 964-0128
MS. ANNE PARKS YACKEE LCSW
Social Worker (Clinical)
116 JOHN ST, 27 FLOOR
NEW YORK, NY 10038
New York County (212) 385-0086
DONNA M RAIFORD CASAC
Counselor (Addiction (Substance Use Disorder))
116 JOHN ST, 27 TH FLOOR
NEW YORK, NY 10038
New York County (212) 964-0128
VICTORIA RADDIN LMSW
Social Worker (Clinical)
116 JOHN ST, 27 FLOOR
NEW YORK, NY 10038
New York County (212) 385-0086
PHILLIP ANDRE WILLIAMS CASAC T
Counselor (Addiction (Substance Use Disorder))
116 JOHN ST
NEW YORK, NY 10038
New York County (212) 964-0128
TARA ROWLEY CASAC-T
Counselor (Addiction (Substance Use Disorder))
116 JOHN ST, 27TH FLOOR
NEW YORK, NY 10038
New York County (212) 964-0128
ALEXANDRA K POMERANTZ MSW
Social Worker (Clinical)
116 JOHN ST, 27 FLOOR
NEW YORK, NY 10038
New York County (212) 385-0085
CIS COUNSELING CENTER INC
Clinic/Center (Mental Health (Including Community Mental Health Center))
116 JOHN ST, 27TH FLOOR
NEW YORK, NY 10038
New York County (212) 385-0086

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 Marsillo's NPI number?

The NPI number for Jacqueline Marsillo is 1811149438. It was assigned to this individual provider in the NPPES registry on October 14, 2008.

Where is Jacqueline Marsillo located?

Jacqueline Marsillo practices at 116 John St, New York, NY 10038. The listed phone number is (212) 385-0086.

What is Jacqueline Marsillo's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Is Jacqueline Marsillo enrolled in Medicare?

Yes. Jacqueline Marsillo is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jacqueline Marsillo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Marsillo reassigns Medicare benefits to North Shore - Lij Medical PC (New Hyde Park, 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 Jacqueline Marsillo'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 Marsillo was last updated on October 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.