Active NPI
Camilly Morais Coelho, MSED
- Mental Health Counselor
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 579 Courtlandt Ave
Bronx, NY 10451-5013 - Phone
- (718) 485-2100
- NPI assigned
- Jun 7, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
579 Courtlandt Ave
Bronx, NY 10451-5013
Mailing address
418 Broadway Ste N
Albany, NY 12207-2922
Phone (914) 584-1304
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250528002178 | NY | Practitioner - Mental Health Counselor | 1052830551 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
- Group practices
- New York Psychotherapy and Counseling Center
Practice addresses (Care Compare)
579 Courtlandt Ave
Bronx, NY 10451-5013
Phone (718) 485-2100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 016116 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New York Psychotherapy and Counseling Center | Current | Accepting new patients | |
| Belle Mind Mental Health Counseling PLLC | Mental Health | Current | Accepting new patients |
| Coordinated Behavioral Care Ipa Inc | Past | Accepting new patients |
Locations
418 Broadway
Ste N
Albany, NY 12207
Phone (201) 278-8966
579 Courtlandt Ave
Bronx, NY 10451
Phone (718) 908-8000
2857 Linden Blvd
Brooklyn, NY 11208
Phone (718) 235-3100
17620 148th Ave
Jamaica, NY 11434
Phone (718) 553-1100
Organizations & group practices 4
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.
-
- Community/Behavioral Health Agency
- Jamaica, NY
- NPI 1902811342
NY
-
- Mental Health Counselor
- Albany, NY
- NPI 1548128556
Mental Health
-
- Psychiatry Physician
- New York, NY
- NPI 1831576735
NY
-
- Multi-Specialty Clinic/Center
- Bronx, NY
- NPI 1457881443
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782864000000",
"number": "1609560002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "418 BROADWAY STE N",
"city": "ALBANY",
"state": "NY",
"postal_code": "122072922",
"telephone_number": "914-584-1304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "579 COURTLANDT AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104515013",
"telephone_number": "718-485-2100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COELHO",
"first_name": "CAMILLY",
"middle_name": "MORAIS",
"credential": "MSED",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-06-07",
"last_updated": "2026-07-01",
"certification_date": "2026-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.