Individual provider Active NPI

Marilyn Young Mendenhall, LMHC

  • Mental Health Counselor
  • Wappingers Falls, NY
National Provider Identifier
1134337884
Registry record updated Nov 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
001536 Issued in NY
Practice address
1285 Route 9
Suite # 7
Wappingers Falls, NY 12590-4993
Phone
(845) 632-2939
Fax
(845) 632-2940
NPI assigned
May 18, 2007
Last updated
Nov 7, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 001536 NY Primary

Addresses

Primary practice location

1285 Route 9
Suite # 7
Wappingers Falls, NY 12590-4993

Mailing address

PO Box 546
Fishkill, NY 12524-0546
Phone (845) 350-1040

Other names 1

  • Ms. Marilyn Lee Young Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
001536NYMDArt Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Dutchess Psychiatric Consultation PLLC PastSince Feb 27, 2014 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352246400000",
    "number": "1134337884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 546",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125240546",
            "telephone_number": "845-350-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1285 ROUTE 9",
            "address_2": "SUITE # 7",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125904993",
            "telephone_number": "845-632-2939",
            "fax_number": "845-632-2940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDENHALL",
        "first_name": "MARILYN",
        "middle_name": "YOUNG",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2012-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "001536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARILYN",
            "last_name": "YOUNG",
            "middle_name": "LEE",
            "prefix": "MS.",
            "credential": "LMHC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Wappingers Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.