MARYELLEN DANCE LMHC
NPI 1194004036
Counselor in Syracuse, NY

Q: What is Maryellen Dance's NPI number?

The NPI number for Maryellen Dance is 1194004036. It was assigned to this individual provider in the NPPES registry on August 10, 2011.

Q: What is Maryellen Dance's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Maryellen Dance was last updated on November 19, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 10, 2011PECOS Enrolled

1045 JAMES ST, SYRACUSE, NY 13203(315) 425-1004 Get Directions Write a Review

NPPES record last updated: November 19, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Maryellen Dance Lmhc NPPES

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

MARYELLEN DANCE LMHC (NPI 1194004036) is an individual counselor in Syracuse, New York and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1194004036

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameMARYELLEN DANCECredential: LMHC

Location Address1045 JAMES STSyracuse, NY 13203-2730

Mailing Address1045 James StSyracuse, NY 13203-2730 · (315) 425-1004

Phone(315) 425-1004

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateAugust 10, 2011

Last NPPES UpdateNovember 19, 2015

✔ NPI 1194004036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

1045 JAMES ST, Syracuse, NY 13203

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maryellen Dance Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID42786881

PECOS Enrollment IDI20260418000282

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.

ANDREA ROSA VERGARA LCSW

Social Worker (Clinical)