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AVERY A LIEBERMAN
NPI 1952125569
Counselor - Mental Health in Brooklyn, NY

Active since November 11, 2024PECOS Enrolled
1623 KINGS HWY, BROOKLYN, NY 11229(929) 273-7601 Get Directions Write a Review

NPPES record last updated: November 11, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Avery A Lieberman NPPES

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

AVERY A LIEBERMAN (NPI 1952125569) is an individual mental health provider in Brooklyn, New York, licensed in New York (P131756) and active in the NPI registry since November 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1952125569
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameAVERY A LIEBERMAN
Location Address1623 KINGS HWYBrooklyn, NY 11229-1209
Mailing Address1623 Kings HwyBrooklyn, NY 11229-1209
Phone(929) 273-7601
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateNovember 11, 2024
NPPES CertifiedNovember 11, 2024
✔ NPI 1952125569 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 · P131756
1623 KINGS HWY, Brooklyn, NY 11229
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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)

Avery A Lieberman is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9032674825
PECOS Enrollment IDI20260722002332
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 Avery Lieberman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Interborough Developmental And Consultation Center, Inc.
Same address
Case Management
1623 KINGS HWY
Brooklyn, NY 11229
  • Reassigned Medicare billing, New York enrollment
  • 306 clinicians in this Medicare group
NPI 1588611842 (718) 375-1200

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.

ANASTASIYA ABRAMOV LMSW
Social Worker
1623 KINGS HWY
BROOKLYN, NY 11229
Kings County (718) 375-1200
BRENDA GOTTESMAN
Counselor (Mental Health)
1623 KINGS HWY
BROOKLYN, NY 11229
Kings County (718) 954-3800
SHEINA SCHOCHET MHC
Counselor (Mental Health)
1623 KINGS HWY
BROOKLYN, NY 11229
Kings County (718) 954-3800
ELIANA SIMON
Counselor (Mental Health)
1623 KINGS HWY
BROOKLYN, NY 11229
Kings County (718) 954-3800
LESLIE CAMPBELL MHC
Counselor (Mental Health)
1623 KINGS HWY
BROOKLYN, NY 11229
Kings County (718) 954-3800
YULIYA MURASHOVA
Social Worker (Clinical)
1623 KINGS HWY
BROOKLYN, NY 11229
Kings County (718) 954-3800
ROMA S DUNBAR PEER ADVOCATE
Peer Specialist
1623 KINGS HWY
BROOKLYN, NY 11229
Kings County (929) 273-7601
AALIYAH SCOTT LMSW
Social Worker
1623 KINGS HWY
BROOKLYN, NY 11229
Kings County (929) 273-7601

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 Avery Lieberman's NPI number?

The NPI number for Avery Lieberman is 1952125569. It was assigned to this individual provider in the NPPES registry on November 11, 2024.

Where is Avery Lieberman located?

Avery Lieberman practices at 1623 Kings Hwy, Brooklyn, NY 11229. The listed phone number is (929) 273-7601.

What is Avery Lieberman's specialty?

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

Is Avery Lieberman enrolled in Medicare?

Yes. Avery Lieberman is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Avery Lieberman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Avery Lieberman reassigns Medicare benefits to Interborough Developmental And Consultation Center, 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 Avery Lieberman'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 Avery Lieberman was last updated on November 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.