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MISS EILEEN PATRICIA FERNANDEZ TRINIDAD
NPI 1902319965
Counselor - Mental Health in Bronx, NY

Active since November 13, 2017PECOS Enrolled
579 COURTLANDT AVE, BRONX, NY 10451(718) 204-8521 Get Directions Write a Review

NPPES record last updated: November 13, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Miss Eileen Patricia Fernandez Trinidad NPPES

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

MISS EILEEN PATRICIA FERNANDEZ TRINIDAD (NPI 1902319965) is an individual mental health provider in Bronx, New York and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1902319965
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMISS EILEEN PATRICIA FERNANDEZ TRINIDAD
Location Address579 COURTLANDT AVEBronx, NY 10451-5013
Mailing Address104 Hawthorne Ave Apt 3Yonkers, NY 10701-6902 · (914) 308-2892 · Fax (914) 308-2892
Phone(718) 204-8521
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateNovember 13, 2017
✔ NPI 1902319965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
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)

Miss Eileen Patricia Fernandez Trinidad is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6002340353
PECOS Enrollment IDI20241111000460
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 Eileen Fernandez Trinidad reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

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

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 Eileen Fernandez Trinidad's NPI number?

The NPI number for Eileen Fernandez Trinidad is 1902319965. It was assigned to this individual provider in the NPPES registry on November 13, 2017.

Where is Eileen Fernandez Trinidad located?

Eileen Fernandez Trinidad practices at 579 Courtlandt Ave, Bronx, NY 10451. The listed phone number is (718) 204-8521.

What is Eileen Fernandez Trinidad's specialty?

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

Is Eileen Fernandez Trinidad enrolled in Medicare?

Yes. Eileen Fernandez Trinidad is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Eileen Fernandez Trinidad's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eileen Fernandez Trinidad reassigns Medicare benefits to New York Psychotherapy And Counseling Center (Jamaica, 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 Eileen Fernandez Trinidad'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 Eileen Fernandez Trinidad was last updated on November 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.