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ITA BODNER
NPI 1851022032
Counselor - Mental Health in Brooklyn, NY

Active since June 20, 2022PECOS Enrolled
5309 18TH AVE, BROOKLYN, NY 11204(718) 875-6900 Get Directions Write a Review

NPPES record last updated: June 20, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ita Bodner NPPES

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

ITA BODNER (NPI 1851022032) is an individual mental health provider in Brooklyn, New York and active in the NPI registry since June 2022. She is enrolled in Medicare PECOS and is a graduate of Touro Un Col Of Osteopathic Medicine, New York (2023).

NPPES Registry Identity

NPI1851022032
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameITA BODNER
Location Address5309 18TH AVEBrooklyn, NY 11204-1523
Mailing Address868 E 24th StBrooklyn, NY 11210-2822 · (347) 907-4650
Phone(718) 875-6900
Sole ProprietorNo
Medical School CMSTouro Un Col Of Osteopathic Medicine, New YorkGraduated 2023
Enumeration DateJune 20, 2022
NPPES CertifiedJune 20, 2022
✔ NPI 1851022032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
5309 18TH AVE, Brooklyn, NY 11204
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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 (PECOS)

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

PECOS PAC ID6406348317
PECOS Enrollment IDI20251126002143
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 Ita Bodner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pesach Tikvah Hope Development Inc
Same address
Mental Health (Including Community Mental Health Center)
5309 18TH AVE
Brooklyn, NY 11204
  • Reassigned Medicare billing, New York enrollment
  • 64 clinicians in this Medicare group
NPI 1740834191 (718) 705-5190

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.

TOBY UNGER
Social Worker (Clinical)
5309 18TH AVE
BROOKLYN, NY 11204
Kings County (718) 875-6900
MS. KARINNA TANNENBAUM
Student in an Organized Health Care Education/Training Program
5309 18TH AVE
BROOKLYN, NY 11204
Kings County (718) 705-5190
MR. ELUZER HAGER SWI
Student in an Organized Health Care Education/Training Program
5309 18TH AVE
BROOKLYN, NY 11204
Kings County (718) 875-6900
MICHELLE BARRON
Student in an Organized Health Care Education/Training Program
5309 18TH AVE
BROOKLYN, NY 11204
Kings County (718) 705-5190
MINDY SOIBELMAN
Student in an Organized Health Care Education/Training Program
5309 18TH AVE
BROOKLYN, NY 11204
Kings County (718) 705-5190
SARA SOLOMONIK
Student in an Organized Health Care Education/Training Program
5309 18TH AVE
BROOKLYN, NY 11204
Kings County (718) 705-5190
CHAYA LEVY-HAIM
Student in an Organized Health Care Education/Training Program
5309 18TH AVE
BROOKLYN, NY 11204
Kings County (718) 705-5190
MR. AVY SPIEGEL CCI
Counselor (Mental Health)
5309 18TH AVE
BROOKLYN, NY 11204
Kings County (718) 875-6900

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 Ita Bodner's NPI number?

The NPI number for Ita Bodner is 1851022032. It was assigned to this individual provider in the NPPES registry on June 20, 2022.

Where is Ita Bodner located?

Ita Bodner practices at 5309 18th Ave, Brooklyn, NY 11204. The listed phone number is (718) 875-6900.

What is Ita Bodner's specialty?

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

Is Ita Bodner enrolled in Medicare?

Yes. Ita Bodner is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ita Bodner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ita Bodner reassigns Medicare benefits to Pesach Tikvah Hope Development Inc (Brooklyn, 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 Ita Bodner'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 Ita Bodner was last updated on June 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.