MARIEL CATHLEEN BRUECKMAN
NPI 1750059770
Counselor - Mental Health in Rochester, NY

Active since September 03, 2021PECOS EnrolledAccepts Medicare Assignment
224 ALEXANDER ST, ROCHESTER, NY 14607(585) 922-7770(585) 922-7020 Get Directions Write a Review

NPPES record last updated: November 10, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 10, 2025, Jul 20, 2022 (2 updates tracked since 2022).

About Mariel Cathleen Brueckman NPPES

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

MARIEL CATHLEEN BRUECKMAN (NPI 1750059770) is an individual mental health provider in Rochester, New York, licensed in New York (014996) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1750059770
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMARIEL CATHLEEN BRUECKMAN
Location Address224 ALEXANDER STRochester, NY 14607-4000
Mailing Address100 Kings Hwy SRochester, NY 14617-5504
Fax(585) 922-7020
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateSeptember 3, 2021
Last NPPES UpdateNovember 10, 20252 updates tracked since enumeration
NPPES CertifiedNovember 10, 2025
✔ NPI 1750059770 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 · 014996
224 ALEXANDER ST, Rochester, NY 14607

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

Mariel Cathleen Brueckman 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 ID7719478130
PECOS Enrollment IDI20251113003243
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 Reassignments

2

Medicare enrollment records show Mariel Brueckman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
222 ALEXANDER ST
Rochester, NY 14607
  • Reassigned Medicare billing, New York enrollment
  • 2,285 clinicians in this Medicare group
Psychiatry
300 CRITTENDEN BLVD
Rochester, NY 14642
  • Reassigned Medicare billing, New York enrollment
  • 191 clinicians in this Medicare group

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

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.

Social Worker
224 ALEXANDER ST
ROCHESTER, NY 14607
Social Worker (Clinical)
224 ALEXANDER ST
ROCHESTER, NY 14607
Social Worker
224 ALEXANDER ST
ROCHESTER, NY 14607
Nurse Practitioner (Family)
224 ALEXANDER ST, SUITE 200
ROCHESTER, NY 14607
Social Worker (Clinical)
224 ALEXANDER ST
ROCHESTER, NY 14607
Pharmacist (Pharmacotherapy)
224 ALEXANDER ST, SUITE 200
ROCHESTER, NY 14607
Counselor (Mental Health)
224 ALEXANDER ST
ROCHESTER, NY 14607
Social Worker
224 ALEXANDER ST
ROCHESTER, NY 14607

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 Mariel Brueckman's NPI number?

The NPI number for Mariel Brueckman is 1750059770. It was assigned to this individual provider in the NPPES registry on September 3, 2021.

Where is Mariel Brueckman located?

Mariel Brueckman practices at 224 Alexander St, Rochester, NY 14607. The listed phone number is (585) 922-7770.

What is Mariel Brueckman's specialty?

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

Is Mariel Brueckman enrolled in Medicare?

Yes. Mariel Brueckman 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 organizations bill Medicare for Mariel Brueckman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mariel Brueckman reassigns Medicare benefits to 2 organizations: Rochester General Hospital (Rochester, NY) and University Of Rochester Department Of Psychiatry Clinical Group (Rochester, NY). Each 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 Mariel Brueckman'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 Mariel Brueckman was last updated on November 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.