NICOLE TORI FLYNN
NPI 1992390611
Counselor - Mental Health in Bethpage, NY

Active since March 04, 2021PECOS EnrolledAccepts Medicare Assignment
55 CHERRY AVE, BETHPAGE, NY 11714(516) 361-9671 Get Directions Write a Review

NPPES record last updated: March 4, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Nicole Tori Flynn NPPES

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

NICOLE TORI FLYNN (NPI 1992390611) is an individual mental health provider in Bethpage, New York and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1992390611
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameNICOLE TORI FLYNN
Location Address55 CHERRY AVEBethpage, NY 11714-1531
Mailing Address55 Cherry AveBethpage, NY 11714-1531
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 4, 2021
NPPES CertifiedMarch 4, 2021
✔ NPI 1992390611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
55 CHERRY AVE, Bethpage, NY 11714

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicole Tori Flynn is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9234581695
PECOS Enrollment IDI20240122001919
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 Nicole Flynn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community/Behavioral Health
790 PARK AVE
Huntington, NY 11743
  • Reassigned Medicare billing, New York enrollment
  • 122 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Nicole Flynn's NPI number?

The NPI number for Nicole Flynn is 1992390611. It was assigned to this individual provider in the NPPES registry on March 4, 2021.

Where is Nicole Flynn located?

Nicole Flynn practices at 55 Cherry Ave, Bethpage, NY 11714. The listed phone number is (516) 361-9671.

What is Nicole Flynn's specialty?

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

Is Nicole Flynn enrolled in Medicare?

Yes. Nicole Flynn is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Nicole Flynn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Flynn reassigns Medicare benefits to Family Service League, Inc. (Huntington, 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 Nicole Flynn'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 Nicole Flynn was last updated on March 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.