MARY BLOMGREN CASAC. LMHC
NPI 1003347626
Counselor - Mental Health in Rochester, NY

Q: What is Mary Blomgren's NPI number?

The NPI number for Mary Blomgren is 1003347626. It was assigned to this individual provider in the NPPES registry on March 24, 2017.

Q: What is Mary Blomgren's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Mary Blomgren was last updated on January 25, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since March 24, 2017PECOS Enrolled

79 N CLINTON AVE, ROCHESTER, NY 14604(315) 331-2300 Get Directions Write a Review

NPPES record last updated: January 25, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 25, 2023, Mar 24, 2017 (2 updates tracked since 2017).

On this page

About Mary Blomgren Casac. Lmhc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY BLOMGREN CASAC. LMHC (NPI 1003347626) is an individual mental health provider in Rochester, New York, licensed in New York (010099-01) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Penfield.

NPPES Registry Identity

NPI1003347626

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMARY BLOMGRENCredential: CASAC. LMHC

Location Address79 N CLINTON AVERochester, NY 14604-1407

Mailing Address79 N Clinton AveRochester, NY 14604-1407 · (585) 397-4648

Phone(315) 331-2300

Sole ProprietorYes

Enumeration DateMarch 24, 2017

Last NPPES UpdateJanuary 25, 20232 updates tracked since enumeration

NPPES CertifiedJanuary 15, 2023

✔ NPI 1003347626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in NY · 010099-01

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 27882 (NY)

79 N CLINTON AVE, Rochester, NY 14604

Open in Google Maps ↗

Secondary Practice Location 1

Location 1Agape Counseling Associates Inc., 21 Willow Pond Way #103Penfield, NY 14526 · Phone (585) 385-6030

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Blomgren Casac. Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TIFFANI NICOLE WILLIAMS LMSW

Counselor (Addiction (Substance Use Disorder))