MARYELLEN ADAMS
NPI 1487237301
Counselor - Mental Health in East Islip, NY

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

Active since April 29, 2021PECOS EnrolledAccepts Medicare Assignment

107 W MAIN ST, EAST ISLIP, NY 11730(631) 666-1615(631) 666-1709 Get Directions Write a Review

NPPES record last updated: April 29, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Maryellen Adams NPPES

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

MARYELLEN ADAMS (NPI 1487237301) is an individual mental health provider in East Islip, New York, licensed in New York (011181-01) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1487237301

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMARYELLEN ADAMS

Location Address107 W MAIN STEast Islip, NY 11730-2337

Mailing Address211 Academy StBayport, NY 11705-1827 · (631) 327-9551

Phone(631) 666-1615

Fax(631) 666-1709

Sole ProprietorYes

Medical School CMSOtherGraduated 2009

Enumeration DateApril 29, 2021

NPPES CertifiedApril 28, 2021

✔ NPI 1487237301 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 · 011181-01

107 W MAIN ST, East Islip, NY 11730

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Maryellen Adams 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 ID5799120317

PECOS Enrollment IDI20240305001336

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.