Individual provider Active NPI

Tracey Griffin

  • Mental Health Counselor
  • Pleasant Valley, NY
National Provider Identifier
1558026617
Registry record updated Nov 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
011560 Issued in NY
Practice address
2828 Route 82
Pleasant Valley, NY 12569-5070
Phone
(201) 213-1969
NPI assigned
Nov 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 34274 NY
Mental Health Counselor 101YM0800X 011560 NY Primary

Addresses

Primary practice location

2828 Route 82
Pleasant Valley, NY 12569-5070

Mailing address

2828 Route 82
Pleasant Valley, NY 12569-5070
Phone (201) 213-1969

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240119003317 NY Practitioner - Mental Health Counselor 2365894458 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCCD Psychiatry Services PLLCGroup PAC ID 4082049036, 206 clinicians
Kristen E Caroprese LCSW PLLCGroup PAC ID 3779821491, 13 clinicians

Practice addresses (Care Compare)

109 W 27TH St
5S
New York, NY 10001-6208
Phone (833) 351-8255

18 Miller Rd
Mahopac, NY 10541-2220
Phone (845) 628-2300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34274NYMDAddiction (Substance Use Disorder) Counselor
011560NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Kristen E Caroprese LCSW PLLC CurrentSince Oct 1, 2025 Accepting new patients
Westchester Health Associates, P.L.L.C PastSince Oct 1, 2025 Accepting new patients

Locations

18 Miller Rd
Mahopac, NY 10541
Phone (845) 628-2300

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1635897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1558026617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 ROUTE 82",
            "city": "PLEASANT VALLEY",
            "state": "NY",
            "postal_code": "125695070",
            "telephone_number": "201-213-1969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 ROUTE 82",
            "city": "PLEASANT VALLEY",
            "state": "NY",
            "postal_code": "125695070",
            "telephone_number": "201-213-1969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "TRACEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-03",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "34274",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "011560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Valley, NY

Sources for this page

Verify at the official NPI Registry.