Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MARYANN EBERSOLD LMHC
NPI 1780905893
Counselor - Mental Health in Rochester, NY

Q: What is Maryann Ebersold's NPI number?

The NPI number for Maryann Ebersold is 1780905893. It was assigned to this individual provider in the NPPES registry on June 14, 2010.

Q: What is Maryann Ebersold'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 Maryann Ebersold was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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 June 14, 2010PECOS Enrolled

1381 E RIDGE RD STE 5, ROCHESTER, NY 14621(585) 922-2500(585) 922-2710 Get Directions Write a Review

NPPES record last updated: July 30, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 30, 2026, Apr 16, 2026, Oct 29, 2019 (3 updates tracked since 2019).

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About Maryann Ebersold Lmhc NPPES

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

MARYANN EBERSOLD LMHC (NPI 1780905893) is an individual mental health provider in Rochester, New York, licensed in New York (005512) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1780905893

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMARYANN EBERSOLDCredential: LMHC

Location Address1381 E RIDGE RD STE 5Rochester, NY 14621-2019

Mailing Address100 Kings Hwy SRochester, NY 14617-5504 · Fax (585) 922-1011

Phone(585) 922-2500

Fax(585) 922-2710

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateJune 14, 2010

Last NPPES UpdateJuly 30, 20263 updates tracked since enumeration

NPPES CertifiedJuly 30, 2026

✔ NPI 1780905893 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 · 005512

1381 E RIDGE RD STE 5, Rochester, NY 14621

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maryann Ebersold Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3971073164

PECOS Enrollment IDI20260528004616

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.

Other Providers at the Same Location NPPES 14

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

THOMAS THEODORE WILSON LCSW

Social Worker (Clinical)