Fix a prime $p\geqslant 5$ and weight $k\leqslant p+1$, and let $f\in S_k(N,\overline{\mathbb{Q}})$ be an eigenform. 

Due to the congruence $E_{p-1} \equiv 1 \mod p$, we know that $\overline{E_{p-1}f}\in S_{k+p-1}(N,\overline{\mathbb{F_p}})$ is congruent to $f$ mod $p$, and it is a result (of Deligne-Serre?)  that $E_{p-1}$ can be lifted to an eigenform in $S_{k+p-1}(N,\overline{\mathbb{Q}})$.

If $f$ is defined over $\mathbb{Z}$, from some limited calculations I've done it seems to be that there are two such lifts if $f$ is $p$-non-ordinary, and there is almost always only one if $f$ is $p$-ordinary.  Does anyone know if this is true in general?  It seems to have a bit of a "theta-cycles" flavour to it, although I'm not sure if you can use that theory to get this kind of "characteristic-zero information"? 

1 Answer
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I am going to assume that $N$ is prime to $p$ -- you don't say this in your question but most of my answer assumes this in a very serious way. 

If $f$ is ordinary then the space of oldforms attached to $f$ at level $Np$ has dimension 2 and contains one ordinary and one non-ordinary form.  Hida theory tells you that if there are no forms congruent to $f$ in weight $k$ and level $Np$ then the space of forms of weight $k+(p-1)$ and level $Np$ will also then contain one ordinary form congruent to $f$ (and only one).  This form must be $p$-old, because newforms have big slope at big weight, and there's your explanation for the one form. 

The non-ordinary case is deeper.  Results of Fontaine/Edixhoven (see Edixhoven's Inventiones article on the weights in Serre's conjectures) tell you that the Galois representation attached to $f$ is irreducible even when restricted to a decomposition group at $p$ and furthermore on inertia it's $\omega_2^{k-1}$ plus its conjugate, with $\omega_2$ a niveau 2 character (see Serre's paper on Serre's conjecture, Duke 1987).  The eigenform produced by "Deligne-Serre" (really just the going down theorem for finite flat $\mathbf{Z}_p$-algebras) has to have some slope.  But the $p$-adic Langlands program is now sufficiently developed for $GL(2,\mathbf{Q}_p)$ that we can say a lot about this slope.  Indeed, a theorem of Breuil [a convenient reference for this is Berger's recent Seminaire Bourbaki talk: http://perso.ens-lyon.fr/laurent.berger/articles/article17.pdf Theoreme 5.2.1 part 3] shows that if $k>2$ then the slope of the weight $k+p-1$ form is forced to be strictly between 0 and 1.  But this means that the slope is not an integer and hence the Deligne-Serre form has at least one other Galois conjugate and often precisely one by the general principle that if you only look at a few examples, then things will probably only be as complicated as they have to be.  The Galois conjugate will give rise to a mod $p$ representation isomorphic to a conjugate of the mod $p$ representation attached to $f$, but your assumption about the coefficient field being the rationals mean that the mod $p$ representation attached to $f$ is defined over $GL(2,\mathbf{F}_p)$ and hence hitting with Galois doesn't move anything.  Hence one is forced to get at least two, and probably in many cases exactly two, non-ordinary forms giving rise to the Galois representation in weight $k+p-1$.