MARISSA FAZIO-HAERING LMHC, CRC, CASAC
NPI 1265954176
Counselor - Mental Health in Franklin Square, NY

Active since July 12, 2017Opted out of Medicare · through Mar 4, 2028
672 DOGWOOD AVE # 123, FRANKLIN SQUARE, NY 11010(516) 712-2562 Get Directions Write a Review

NPPES record last updated: December 5, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 5, 2022, Mar 17, 2018, Jul 12, 2017 (3 updates tracked since 2017).

About Marissa Fazio-haering Lmhc, Crc, Casac NPPES

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

MARISSA FAZIO-HAERING LMHC, CRC, CASAC (NPI 1265954176) is an individual mental health provider in Franklin Square, New York, licensed in New York (000560) and active in the NPI registry since July 2017. She has opted out of Medicare through March 4, 2028.

NPPES Registry Identity

NPI1265954176
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMARISSA FAZIO-HAERINGCredential: LMHC, CRC, CASAC
Location Address672 DOGWOOD AVE # 123Franklin Square, NY 11010-3247
Mailing Address672 Dogwood Ave # 123Franklin Square, NY 11010-3247
Sole ProprietorYes
Enumeration DateJuly 12, 2017
Last NPPES UpdateDecember 5, 20223 updates tracked since enumeration
NPPES CertifiedDecember 1, 2022
NPI 1265954176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in NY · 000560
672 DOGWOOD AVE # 123, Franklin Square, NY 11010

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Marissa Fazio-haering Lmhc, Crc, Casac 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 March 4, 2024 through March 4, 2028.

Opt-Out Effective DateMarch 4, 2024
Opt-Out In Effect ThroughMarch 4, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Marissa Fazio-haering's NPI number?

The NPI number for Marissa Fazio-haering is 1265954176. It was assigned to this individual provider in the NPPES registry on July 12, 2017.

Where is Marissa Fazio-haering located?

Marissa Fazio-haering practices at 672 Dogwood Ave # 123, Franklin Square, NY 11010. The listed phone number is (516) 712-2562.

What is Marissa Fazio-haering's specialty?

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

Is Marissa Fazio-haering enrolled in Medicare?

No. Marissa Fazio-haering has opted out of Medicare through March 4, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Marissa Fazio-haering accept?

Health plans from Providence Health Plan list Marissa Fazio-haering 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 Marissa Fazio-haering was last updated on December 5, 2022. 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.