MARY LEROUGE LCSW PLLC
NPI 1700254349
Counselor - Mental Health in Middletown, NY
About Mary Lerouge Lcsw Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARY LEROUGE LCSW PLLC (NPI 1700254349) is an individual mental health provider in Middletown, New York, licensed in New York (089374) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
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
Mary Lerouge Lcsw Pllc 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.
Medicare Billing Reassignment
Medicare enrollment records show Mary Lerouge reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Middletown, NY 10940
- Reassigned Medicare billing, New York enrollment
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 Mary Lerouge's NPI number?
The NPI number for Mary Lerouge is 1700254349. It was assigned to this individual provider in the NPPES registry on September 14, 2015.
Where is Mary Lerouge located?
Mary Lerouge practices at 720 Route 17M Ste 101A, Middletown, NY 10940. The listed phone number is (945) 391-3812.
What is Mary Lerouge's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Mary Lerouge enrolled in Medicare?
Yes. Mary Lerouge 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 Mary Lerouge's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mary Lerouge reassigns Medicare benefits to Mary Lerouge Lcsw PLLC (Middletown, 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 Mary Lerouge'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 Mary Lerouge was last updated on October 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Mary Lerouge, LCSW PLLC · NPI 1700254349
Mental Health provider in Middletown, New York. Individual provider, active in the CMS NPPES registry since September 14, 2015.
## Identity
- **NPI:** 1700254349 (Entity type: Individual)
- **Enumerated:** September 14, 2015
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 089374 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 720 ROUTE 17M STE 101A, Middletown, NY 10940-4346
- **Phone:** (945) 391-3812
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Mary Lerouge Lcsw PLLC (NPI 1043825029, Middletown, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** October 14, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1700254349) · Data from the CMS NPPES public registry.