MARY LEE LICSW
NPI 1659470409
Counselor - Mental Health in Faribault, MN

Q: What is Mary Lee's NPI number?

The NPI number for Mary Lee is 1659470409. It was assigned to this individual provider in the NPPES registry on September 21, 2006.

Q: What is Mary Lee's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mary Lee was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since September 21, 2006PECOS EnrolledAccepts Medicare Assignment

329 FARIBAULT RD, FARIBAULT, MN 55021(507) 334-1983(507) 333-2307 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Mary Lee Licsw NPPES

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

MARY LEE LICSW (NPI 1659470409) is an individual mental health provider in Faribault, Minnesota, licensed in Minnesota (14947) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1986).

NPPES Registry Identity

NPI1659470409

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMARY LEECredential: LICSW

Location Address329 FARIBAULT RDFaribault, MN 55021-5780

Mailing Address329 Faribault RdFaribault, MN 55021-5780 · (507) 334-1983 · Fax (507) 333-2307

Phone(507) 334-1983

Fax(507) 333-2307

Sole ProprietorNo

Medical School CMSOtherGraduated 1986

Enumeration DateSeptember 21, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1659470409 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 MN · 14947

329 FARIBAULT RD, Faribault, MN 55021

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Other Identifiers 1

Other14947MN · License Number

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

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

Mary Lee Licsw 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 ID6709053762

PECOS Enrollment IDI20120117000247

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychiatric diagnostic evaluation 90791

A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.

36 services36 patients

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FARIBAULT PSYCHOLOGICAL SERVICES PA

Clinic/Center (Mental Health (Including Community Mental Health Center))