Individual provider Active NPI

Maryna Bilyk, MS

  • Professional Counselor
  • Goodyear, AZ
National Provider Identifier
1194548461
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-23319 Issued in AZ
Practice address
2440 N Litchfield Rd Ste 210
Goodyear, AZ 85395-1664
Phone
(623) 440-5053
NPI assigned
Nov 5, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC-23319 AZ Primary

Addresses

Primary practice location

2440 N Litchfield Rd Ste 210
Goodyear, AZ 85395-1664

Mailing address

2440 N Litchfield Rd Ste 210
Goodyear, AZ 85395-1664
Phone (623) 440-5053

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250716000364 AZ Practitioner - Mental Health Counselor 6901311133 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CNS Memory Clinic LLCGroup PAC ID 2961775895, 5 clinicians

Practice addresses (Care Compare)

2440 N Litchfield Rd
Suite 200
Goodyear, AZ 85395-1664
Phone (623) 977-6860

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LPC-23319AZMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
CNS Memory Clinic LLC CurrentSince Jun 20, 2025 Accepting new patients

Locations

2440 N Litchfield Rd
Ste 200
Goodyear, AZ 85395
Phone (623) 977-6860

2440 N Litchfield Rd
Ste 208
Goodyear, AZ 85395
Phone (623) 977-6860

2440 N Litchfield Rd
Ste 210
Goodyear, AZ 85395
Phone (623) 440-5053

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1730764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1194548461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 N LITCHFIELD RD STE 210",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853951664",
            "telephone_number": "623-440-5053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 N LITCHFIELD RD STE 210",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853951664",
            "telephone_number": "623-440-5053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BILYK",
        "first_name": "MARYNA",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-05",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-23319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Goodyear, AZ

Sources for this page

Verify at the official NPI Registry.