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MRS. MARY BETH D'AMICO MS LMHC
NPI 1104013812
Counselor - Mental Health in Oswego, NY

Active since September 26, 2007Opted out of Medicare · through Jan 19, 2028
5 WEST CAYUGA ST, INTEGRATIVE SERVICES INC., OSWEGO, NY 13126(315) 342-9255 Get Directions Write a Review

NPPES record last updated: July 18, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Mary Beth D'amico Ms Lmhc NPPES

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

MRS. MARY BETH D'AMICO MS LMHC (NPI 1104013812) is an individual mental health provider in Oswego, New York, licensed in New York (000899-1) and active in the NPI registry since September 2007. She has opted out of Medicare through January 19, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1104013812
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. MARY BETH D'AMICOCredential: MS LMHC
Location Address5 WEST CAYUGA ST, INTEGRATIVE SERVICES INC.Oswego, NY 13126
Mailing AddressPo Box 5246Oswego, NY 13126-5246 · (315) 598-0650
Phone(315) 342-9255
Sole ProprietorYes
Enumeration DateSeptember 26, 2007
Last NPPES UpdateJuly 18, 2012
✔ NPI 1104013812 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 · 000899-1
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
5 WEST CAYUGA ST, Oswego, NY 13126
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mrs. Mary Beth D'amico Ms Lmhc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 19, 2024 through January 19, 2028.

Opt-Out Effective DateJanuary 19, 2024
Opt-Out In Effect ThroughJanuary 19, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary D'amico's NPI number?

The NPI number for Mary D'amico is 1104013812. It was assigned to this individual provider in the NPPES registry on September 26, 2007.

Where is Mary D'amico located?

Mary D'amico practices at 5 West Cayuga St Integrative Services Inc., Oswego, NY 13126. The listed phone number is (315) 342-9255.

What is Mary D'amico's specialty?

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

Is Mary D'amico enrolled in Medicare?

No. Mary D'amico has opted out of Medicare through January 19, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Mary D'amico was last updated on July 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.