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MARILYN BRYAN DEBERNARDO LMHC, CASAC-G
NPI 1407018591
Counselor in Glens Falls, NY

Active since June 30, 2008PECOS EnrolledAccepts Medicare Assignment
4 TECHNICAL PARK, SUITE #3, #6, GLENS FALLS, NY 12801(518) 847-7803(518) 280-5049 Get Directions Write a Review

NPPES record last updated: June 12, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Marilyn Bryan Debernardo Lmhc, Casac-g NPPES

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

MARILYN BRYAN DEBERNARDO LMHC, CASAC-G (NPI 1407018591) is an individual counselor in Glens Falls, New York, licensed in New York (002250-1) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, maintains a secondary practice location in Queensbury, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1407018591
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMARILYN BRYAN DEBERNARDOCredential: LMHC, CASAC-G
Location Address4 TECHNICAL PARK, SUITE #3, #6Glens Falls, NY 12801
Mailing Address97 Dunsbach PdClifton Park, NY 12065 · (518) 847-7803 · Fax (518) 280-5049
Phone(518) 847-7803
Fax(518) 280-5049
Sole ProprietorYes
Medical School CMSOtherGraduated 1995
Enumeration DateJune 30, 2008
Last NPPES UpdateJune 12, 2023
NPPES CertifiedJune 12, 2023
✔ NPI 1407018591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License✔ Licensed in NY · 002250-1
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.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 11051 (NY)
Also ListedClinic/Center · Rehabilitation, Substance Use DisorderTaxonomy 261QR0405X · License 11051 (NY)
4 TECHNICAL PARK, Glens Falls, NY 12801
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Secondary Practice Location 1

Location 125 Willowbrook RdQueensbury, NY 12804-5882 · Phone (518) 926-7100

Other Identifiers 1

Medicaid01420800NY

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

Marilyn Bryan Debernardo Lmhc, Casac-g 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 ID9638519077
PECOS Enrollment IDI20240501003572
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 Marilyn Bryan Debernardo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Behavioral Health Services North, Inc.
2.6 mi
Mental Health (Including Community Mental Health Center)
25 WILLOWBROOK RD
Queensbury, NY 12804
  • Reassigned Medicare billing, New York enrollment
  • 107 clinicians in this Medicare group
NPI 1447005541 (518) 563-8206

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

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 Marilyn Bryan Debernardo's NPI number?

The NPI number for Marilyn Bryan Debernardo is 1407018591. It was assigned to this individual provider in the NPPES registry on June 30, 2008.

Where is Marilyn Bryan Debernardo located?

Marilyn Bryan Debernardo practices at 4 Technical Park Suite #3, #6, Glens Falls, NY 12801. The listed phone number is (518) 847-7803.

What is Marilyn Bryan Debernardo's specialty?

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

Is Marilyn Bryan Debernardo enrolled in Medicare?

Yes. Marilyn Bryan Debernardo 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 Marilyn Bryan Debernardo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marilyn Bryan Debernardo reassigns Medicare benefits to Behavioral Health Services North, Inc. (Queensbury, NY). 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 Marilyn Bryan Debernardo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Marilyn Bryan Debernardo was last updated on June 12, 2023. 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.