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CARLY BURGOS
NPI 1881239598
Counselor - Mental Health in Palm Springs, FL

Active since November 18, 2019PECOS Enrolled
4020 LAKE WORTH RD, PALM SPRINGS, FL 33461(561) 444-3512 Get Directions Write a Review

NPPES record last updated: November 18, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Carly Burgos NPPES

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

CARLY BURGOS (NPI 1881239598) is an individual mental health provider in Palm Springs, Florida, licensed in Florida (MH12702) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881239598
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameCARLY BURGOS
Location Address4020 LAKE WORTH RDPalm Springs, FL 33461-3918
Mailing Address4020 Lake Worth RdPalm Springs, FL 33461-3918 · (561) 444-3512
Phone(561) 444-3512
Sole ProprietorYes
Enumeration DateNovember 18, 2019
✔ NPI 1881239598 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 FL · MH12702
4020 LAKE WORTH RD, Palm Springs, FL 33461
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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 Carly Burgos reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Brave Health Inc.
57 mi
Community/Behavioral Health
1951 NW 7TH AVE
Miami, FL 33136
  • Reassigned Medicare billing, Florida enrollment
  • 194 clinicians in this Medicare group
NPI 1821588674 (305) 930-8939

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 18

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

CYNTHIA ELIZABETH FLORES
Counselor (Addiction (Substance Use Disorder))
4020 LAKE WORTH RD
PALM SPRINGS, FL 33461
Palm Beach County (561) 444-5512
CRAIG VINCENT STEVENS
Counselor (Addiction (Substance Use Disorder))
4020 LAKE WORTH RD
PALM SPRINGS, FL 33461
Palm Beach County (561) 444-3512
RALPH JAMES BANKS IMH20228
Counselor (Mental Health)
4020 LAKE WORTH RD
PALM SPRINGS, FL 33461
Palm Beach County (717) 819-9720
ALYSSA NICOLE DESTEFANO LCSW
Counselor (Mental Health)
4020 LAKE WORTH RD
PALM SPRINGS, FL 33461
Palm Beach County (561) 444-3512
BOCA RI LLC
Substance Abuse Rehabilitation Facility
4020 LAKE WORTH RD
PALM SPRINGS, FL 33461
Palm Beach County (561) 404-5505
PAUL MERLE KURLANCHEEK
Counselor
4020 LAKE WORTH RD
PALM SPRINGS, FL 33461
Palm Beach County (717) 925-6149
JOSEPH RENARD LONJOSE
Counselor
4020 LAKE WORTH RD
PALM SPRINGS, FL 33461
Palm Beach County (561) 444-3512
HUGUES V JEANTY PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
4020 LAKE WORTH RD
LAKE WORTH, FL 33461
Palm Beach County (855) 859-8810

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 Carly Burgos's NPI number?

The NPI number for Carly Burgos is 1881239598. It was assigned to this individual provider in the NPPES registry on November 18, 2019.

Where is Carly Burgos located?

Carly Burgos practices at 4020 Lake Worth Rd, Palm Springs, FL 33461. The listed phone number is (561) 444-3512.

What is Carly Burgos's specialty?

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

Is Carly Burgos enrolled in Medicare?

Yes. Carly Burgos is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Carly Burgos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carly Burgos reassigns Medicare benefits to Brave Health Inc. (Miami, FL). 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 Carly Burgos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carly Burgos accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare, Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Carly Burgos as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Carly Burgos was last updated on November 18, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.