MARISA LEE YOUNG
NPI 1306312715
Counselor - Mental Health in Gloversville, NY

Active since October 23, 2018PECOS EnrolledAccepts Medicare Assignment
11-21 BROADWAY ST, GLOVERSVILLE, NY 12078(518) 725-4310 Get Directions Write a Review

NPPES record last updated: October 23, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Marisa Lee Young NPPES

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

MARISA LEE YOUNG (NPI 1306312715) is an individual mental health provider in Gloversville, New York and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1306312715
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMARISA LEE YOUNG
Location Address11-21 BROADWAY STGloversville, NY 12078-3968
Mailing Address11-21 Broadway StGloversville, NY 12078-3964
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateOctober 23, 2018
NPI 1306312715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
11-21 BROADWAY ST, Gloversville, NY 12078

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Marisa Lee Young 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 ID2668825860
PECOS Enrollment IDI20241219002487
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.

Counselor (Mental Health)
11-21 BROADWAY ST
GLOVERSVILLE, NY 12078
Community/Behavioral Health
11-21 BROADWAY ST
GLOVERSVILLE, NY 12078
Social Worker
11-21 BROADWAY ST
GLOVERSVILLE, NY 12078
Social Worker
11-21 BROADWAY ST
GLOVERSVILLE, NY 12078
Counselor (Mental Health)
11-21 BROADWAY ST
GLOVERSVILLE, NY 12078
Counselor (Mental Health)
11-21 BROADWAY ST
GLOVERSVILLE, NY 12078
Nurse Practitioner (Psychiatric/Mental Health)
11-21 BROADWAY ST
GLOVERSVILLE, NY 12078
Counselor (Mental Health)
11-21 BROADWAY ST
GLOVERSVILLE, NY 12078

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 Marisa Young's NPI number?

The NPI number for Marisa Young is 1306312715. It was assigned to this individual provider in the NPPES registry on October 23, 2018.

Where is Marisa Young located?

Marisa Young practices at 11-21 Broadway St, Gloversville, NY 12078. The listed phone number is (518) 725-4310.

What is Marisa Young's specialty?

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

Is Marisa Young enrolled in Medicare?

Yes. Marisa Young 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.

When was this NPI record last updated?

The NPPES record for Marisa Young was last updated on October 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.