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MARLY AYALA-ICAZA MH14786
NPI 1821412230
Counselor - Mental Health in Bradenton, FL

Active since February 06, 2014PECOS EnrolledAccepts Medicare Assignment
3500 EL CONQUISTADOR PKWY APT 259, APT 259, BRADENTON, FL 34210(954) 806-3698 Get Directions Write a Review

NPPES record last updated: February 5, 2018. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Marly Ayala-icaza Mh14786 NPPES

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

MARLY AYALA-ICAZA MH14786 (NPI 1821412230) is an individual mental health provider in Bradenton, Florida, licensed in Florida (IMH2387) and active in the NPI registry since February 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2010).

NPPES Registry Identity

NPI1821412230
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMARLY AYALA-ICAZACredential: MH14786
Location Address3500 EL CONQUISTADOR PKWY APT 259, APT 259Bradenton, FL 34210-3819
Mailing Address3500 El Conquistador Pkwy Apt 259, Apt 259Bradenton, FL 34210-3819 · (954) 806-3698
Phone(954) 806-3698
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateFebruary 6, 2014
Last NPPES UpdateFebruary 5, 2018
✔ NPI 1821412230 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 FL · IMH2387
3500 EL CONQUISTADOR PKWY APT 259, Bradenton, FL 34210
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and more.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

Marly Ayala-icaza Mh14786 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 ID5890227755
PECOS Enrollment IDI20241016002626
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.

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 Marly Ayala-icaza's NPI number?

The NPI number for Marly Ayala-icaza is 1821412230. It was assigned to this individual provider in the NPPES registry on February 6, 2014.

Where is Marly Ayala-icaza located?

Marly Ayala-icaza practices at 3500 El Conquistador Pkwy Apt 259 Apt 259, Bradenton, FL 34210. The listed phone number is (954) 806-3698.

What is Marly Ayala-icaza's specialty?

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

Is Marly Ayala-icaza enrolled in Medicare?

Yes. Marly Ayala-icaza 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.

What insurance does Marly Ayala-icaza accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and Providence Health Plan list Marly Ayala-icaza as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Marly Ayala-icaza was last updated on February 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.