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MS. CARLINE JACQUES LMHC
NPI 1861961476
Counselor - Mental Health in Bronx, NY

Active since November 13, 2018PECOS Enrolled
579 COURTLANDT AVE, BRONX, NY 10451(718) 540-7597(718) 504-4797 Get Directions Write a Review

NPPES record last updated: February 7, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 7, 2026, Nov 4, 2024, Nov 13, 2018 (3 updates tracked since 2018).

About Ms. Carline Jacques Lmhc NPPES

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

MS. CARLINE JACQUES LMHC (NPI 1861961476) is an individual mental health provider in Bronx, New York, licensed in New York (013169) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1861961476
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. CARLINE JACQUESCredential: LMHC
Location Address579 COURTLANDT AVEBronx, NY 10451-5013
Mailing Address579 Courtlandt AveBronx, NY 10451-5013 · (718) 540-7597
Phone(718) 540-7597
Fax(718) 504-4797
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateNovember 13, 2018
Last NPPES UpdateFebruary 7, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2026
✔ NPI 1861961476 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NY · 013169
579 COURTLANDT AVE, Bronx, NY 10451
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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)

Ms. Carline Jacques Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6608302203
PECOS Enrollment IDI20241205003494
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

2

Medicare enrollment records show Carline Jacques reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

New York Psychotherapy And Counseling Center
13 mi
Community/Behavioral Health
17620 148TH AVE
Jamaica, NY 11434
  • Reassigned Medicare billing, New York enrollment
  • 249 clinicians in this Medicare group
NPI 1902811342 (718) 553-1100
Uplift Behavioral Health PC
211 mi
Adult Mental Health
4800 HAMPDEN LN STE 200B
Bethesda, MD 20814
  • Reassigned Medicare billing, New York enrollment
  • 43 clinicians in this Medicare group
NPI 1629740410 (202) 932-7607

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.

ILIANA PAOLA MEDINA
Social Worker
579 COURTLANDT AVE
BRONX, NY 10451
Bronx County (718) 485-2100
KELVIN OLIVO
Counselor (Mental Health)
579 COURTLANDT AVE
BRONX, NY 10451
Bronx County (718) 485-2100
MS. RHAZEEL JANGLERI PLATA
Counselor (Mental Health)
579 COURTLANDT AVE
BRONX, NY 10451
Bronx County (718) 485-2100
VANESSA BAEZ
Social Worker
579 COURTLANDT AVE
BRONX, NY 10451
Bronx County (718) 485-2100
MS. JOMAIRA LUZ MARTINEZ LMSW
Social Worker (Clinical)
579 COURTLANDT AVE
BRONX, NY 10451
Bronx County (718) 485-2100
RENNY JASMIN RIVERA
Social Worker
579 COURTLANDT AVE
BRONX, NY 10451
Bronx County (718) 485-2100
ASHEA ACEVEDO
Counselor (Mental Health)
579 COURTLANDT AVE
BRONX, NY 10451
Bronx County (718) 485-2100
SARAH JENSEN MHC
Counselor (Mental Health)
579 COURTLANDT AVE
BRONX, NY 10451
Bronx County (718) 485-2100

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 Carline Jacques's NPI number?

The NPI number for Carline Jacques is 1861961476. It was assigned to this individual provider in the NPPES registry on November 13, 2018.

Where is Carline Jacques located?

Carline Jacques practices at 579 Courtlandt Ave, Bronx, NY 10451. The listed phone number is (718) 540-7597.

What is Carline Jacques's specialty?

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

Is Carline Jacques enrolled in Medicare?

Yes. Carline Jacques is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Carline Jacques's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carline Jacques reassigns Medicare benefits to 2 organizations: New York Psychotherapy And Counseling Center (Jamaica, NY) and Uplift Behavioral Health PC (Bethesda, MD). 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 Carline Jacques'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 Carline Jacques was last updated on February 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.