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MARIYAH CHARLTON
NPI 1114401692
Counselor - Mental Health in New Haven, CT

Active since September 20, 2018PECOS EnrolledAccepts Medicare Assignment
869 WHALLEY AVE, NEW HAVEN, CT 06515(475) 238-2790 Get Directions Write a Review

NPPES record last updated: April 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 22, 2020, Sep 20, 2018 (2 updates tracked since 2018).

About Mariyah Charlton NPPES

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

MARIYAH CHARLTON (NPI 1114401692) is an individual mental health provider in New Haven, Connecticut and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in New Haven, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1114401692
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMARIYAH CHARLTON
Location Address869 WHALLEY AVENew Haven, CT 06515-1728
Mailing Address3 Strong StNew Haven, CT 06515-1209 · (203) 641-0825
Phone(475) 238-2790
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 20, 2018
Last NPPES UpdateApril 22, 20202 updates tracked since enumeration
NPPES CertifiedApril 22, 2020
✔ NPI 1114401692 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
869 WHALLEY AVE, New Haven, CT 06515
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Secondary Practice Location 1

Location 1446A Blake Street, Suite 200New Haven, CT 06515 · Phone (203) 387-9400

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mariyah Charlton is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1850870254
PECOS Enrollment IDI20260205003806
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.

Medicare Billing Reassignment

Medicare enrollment records show Mariyah Charlton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Integrated Wellness Group, LLC
0.1 mi
Clinical Child & Adolescent
446A BLAKE STREET, SUITE 200
New Haven, CT 06515
  • Reassigned Medicare billing, Connecticut enrollment
  • 4 clinicians in this Medicare group
NPI 1003096744 (203) 387-9400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 6

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

JOANN ROTAR MS, NCC, LPC
Counselor (Professional)
869 WHALLEY AVE
NEW HAVEN, CT 06515
South Central Connecticut Planning Region (203) 491-1652
WEST ROCK WELLNESS PLLC
Psychiatry & Neurology (Psychiatry)
869 WHALLEY AVE
NEW HAVEN, CT 06515
South Central Connecticut Planning Region (203) 930-2995
KATRINA L SANYAL LPC-A, RDT
Counselor (Mental Health)
869 WHALLEY AVE
NEW HAVEN, CT 06515
South Central Connecticut Planning Region (203) 930-2995
ALIGN THERAPY STUDIOS LLC
Counselor (Professional)
869 WHALLEY AVE
NEW HAVEN, CT 06515
South Central Connecticut Planning Region (203) 440-7633
MS. WENDY A MAURO MA, LPC, NCC
Counselor (Professional)
869 WHALLEY AVE
NEW HAVEN, CT 06515
South Central Connecticut Planning Region (203) 491-1652
DR. JENNIFER C. PIERRE ND, MPH
Naturopath
869 WHALLEY AVE
NEW HAVEN, CT 06515
South Central Connecticut Planning Region (203) 806-5152

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 Mariyah Charlton's NPI number?

The NPI number for Mariyah Charlton is 1114401692. It was assigned to this individual provider in the NPPES registry on September 20, 2018.

Where is Mariyah Charlton located?

Mariyah Charlton practices at 869 Whalley Ave, New Haven, CT 06515. The listed phone number is (475) 238-2790.

What is Mariyah Charlton's specialty?

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

Is Mariyah Charlton enrolled in Medicare?

Yes. Mariyah Charlton is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Mariyah Charlton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mariyah Charlton reassigns Medicare benefits to Integrated Wellness Group, LLC (New Haven, CT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mariyah Charlton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mariyah Charlton accept?

Health plans from Anthem Blue Cross and Blue Shield list Mariyah Charlton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mariyah Charlton was last updated on April 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.