Ivelisse Roman
NPI 1811586795 · Mental Health Counselor · Middletown, NY
Enrolled with Medicare as Practitioner - Mental Health Counselor · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ivelisse Roman is a Mental Health Counselor provider in Middletown, NY (NPI 1811586795).
Provider details
- NPI number
- 1811586795
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 013057 (NY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
5 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
163 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Psychotherapy, 30 Minutes90832 | 125 | $64 |
| Psychiatric Diagnostic Evaluation90791 | 22 | $141 |
| Psychotherapy, 45 Minutes90834 | 16 | $85 |
Typical Medicare-allowed amounts for these services range $64–$141 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Additional practice locations (1)
- 3635 Bell Blvd Ste 203Bayside, NY 11361-2097Phone: (718) 504-9256
Registry dates
- Enumerated
- 2021-01-14
- Last updated
- 2026-02-26
- Certified
- 2026-02-26
Frequently asked questions
- What is Ivelisse Roman's NPI number?
- Ivelisse Roman's National Provider Identifier (NPI) is 1811586795, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ivelisse Roman's specialty?
- Ivelisse Roman is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Ivelisse Roman located?
- Ivelisse Roman's practice location on file with NPPES is 15 Fortune Rd W, Middletown, NY 10941-1625.
- What is Ivelisse Roman's phone number?
- The practice phone number listed in the NPPES registry for Ivelisse Roman is (845) 673-7123.
- Does Ivelisse Roman accept Medicare?
- Ivelisse Roman is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ivelisse Roman's NPI active?
- Yes — Ivelisse Roman's NPI (1811586795) is active in the NPPES registry as of the last update on 2026-02-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.