Mrs Jaclyn Marie Dolan Nieves, LMHC, CASAC in Mohegan Lake, NY

Mrs Jaclyn Marie Dolan Nieves, LMHC, CASAC is a medicare enrolled "Counselor - Mental Health" provider in Mohegan Lake, New York. Her current practice location is 1713 Lawrence Rd, Mohegan Lake, New York. You can reach out to her office (for appointments etc.) via phone at (914) 438-5121.

Mrs Jaclyn Marie Dolan Nieves is licensed to practice in New York (license number 010790) 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 1659992824.

Contact Information

	Mrs Jaclyn Marie Dolan Nieves, LMHC, CASAC
	1713 Lawrence Rd, Mohegan Lake, NY 10547-1617
	(914) 438-5121
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Jaclyn Marie Dolan Nieves
Gender	Female
Speciality	Counselor - Mental Health
Location	1713 Lawrence Rd, Mohegan Lake, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659992824
Provider Enumeration Date: 04/29/2020
Last Update Date: 01/29/2025

Medicare PECOS Information:

PECOS PAC ID: 6901337419
Enrollment ID: I20241008000758

Medical Identifiers

Medical identifiers for Mrs Jaclyn Marie Dolan Nieves such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659992824	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	010790 (New York)	Primary
101YA0400X	Counselor - Addiction (substance Use Disorder)	34281 (New York)	Secondary

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. Mrs Jaclyn Marie Dolan Nieves allows following entities to bill medicare on her behalf.

Entity Name	Aurora Wellness Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750142261 PECOS PAC ID: 0648615187 Enrollment ID: O20240223003385

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. Mrs Jaclyn Marie Dolan Nieves 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 Address	Practice Location Address
Mrs Jaclyn Marie Dolan Nieves, LMHC, CASAC 600 White Plains Rd Ste 125, Tarrytown, NY 10591-5104 Ph: (914) 440-3299	Mrs Jaclyn Marie Dolan Nieves, LMHC, CASAC 1713 Lawrence Rd, Mohegan Lake, NY 10547-1617 Ph: (914) 438-5121

Reviews and Comments

Counselor in Mohegan Lake, NY

Daniel Michael Wolff, MHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3151 Stony St, Mohegan Lake, NY 10547 Phone: 914-885-1995
Michael G. Fichter, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3059 Lexington Ave, Mohegan Lake, NY 10547 Phone: 914-830-7527
Christina Jean Lanzetta, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 38 Offshore Dr, Mohegan Lake, NY 10547 Phone: 914-603-7711 Fax: 914-937-3183

Mrs Jaclyn Marie Dolan Nieves, LMHC, CASAC - Medicare Counselor in Mohegan Lake, NY