Chanel Viviana Tazza, LMHC - Medicare Counselor in Ridgewood, NY

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Chanel Viviana Tazza, LMHC is a medicare enrolled "Counselor - Mental Health" provider in Ridgewood, New York. Her current practice location is 5913 Grove St, Ridgewood, New York. You can reach out to her office (for appointments etc.) via phone at (646) 456-0819.

Chanel Viviana Tazza is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1053510354.

Contact Information

Chanel Viviana Tazza, LMHC
5913 Grove St,
Ridgewood, NY 11385-2647
(646) 456-0819
(718) 297-8658

Map and Direction


Healthcare Provider's Profile

Full NameChanel Viviana Tazza
GenderFemale
SpecialityCounselor - Mental Health
Location5913 Grove St, Ridgewood, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1053510354
  • Provider Enumeration Date: 07/16/2007
  • Last Update Date: 03/28/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0042684045
  • Enrollment ID: I20240517000134

Medical Identifiers

Medical identifiers for Chanel Viviana Tazza such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053510354NPI-NPPES
00-4161OtherNYNYS MENTAL HEALTH COUNSELOR LICENSE
006801OtherCTSTATE LICENSE
37PC00991600OtherNJSTATE LICENSE
07679601MedicaidNY
1053510354OtherNPI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101Y00000XCounselor (* (Not Available))Secondary
101YM0800XCounselor - Mental Health 004161 (New York)Secondary
101YM0800XCounselor - Mental Health (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Chanel Viviana Tazza allows following entities to bill medicare on her behalf.
Entity NameTransitional Services For New York, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457418337
PECOS PAC ID: 7719932540
Enrollment ID: O20050315000500
Entity NameChanel V. Tazza, Mental Health Counseling, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386114692
PECOS PAC ID: 4688015936
Enrollment ID: O20240517000073

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Chanel Viviana Tazza is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Chanel Viviana Tazza, LMHC
63 Scudders Ln,
Glen Head, NY 11545-1535

Ph: (646) 456-0819		Chanel Viviana Tazza, LMHC
5913 Grove St,
Ridgewood, NY 11385-2647

Ph: (646) 456-0819

Reviews and Comments


Counselor in Ridgewood, NY

Anna Dec, CASAC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 6801 Fresh Pond Rd, Apt.2f, Ridgewood, NY 11385
Phone: 917-600-2158    
Jeannett Zuniga,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 2140 Harman St, Ridgewood, NY 11385
Phone: 929-327-0141    
Mrs. Nino Tevdorashvili, LMHC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 21-05 Linden St. Suite-2d, Ridgewood, NY 11385
Phone: 917-251-7437    
Ryan Tylon-elijah Fields, MHC, MPA
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 5913 Grove St, Ridgewood, NY 11385
Phone: 718-506-5457    
Francesca Guerriero, LMHC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 803 Onderdonk Ave Apt 2r, Ridgewood, NY 11385
Phone: 917-463-9834    
Mr. Amin Villaran, CASAC # 33961
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1614 Weirfield St, Ridgewood, NY 11385
Phone: 718-456-7820    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.