Maureen Jennifer Privatera, LMHC
Individual provider Active NPI Mental Health Counselor · Leroy, NY
NPI 1306227194 · NPPES record last updated Nov 1, 2023
Key facts
- NPI
- 1306227194
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 7753 (NY)
- Practice address
- 106 Munson Street
Leroy, NY 14482 - Phone
- (585) 768-4655
- Fax
- (585) 768-4655
- NPI assigned
- Jun 17, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2015
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
106 Munson St
Le Roy, NY 14482-8933
PO Box
Suite 130
Le Roy, NY 14482
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260331000539 | NY | Practitioner - Mental Health Counselor | 7416432257 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7753 | NY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Village Mental Health Counseling PLLC | Mental Health | Current |
Accepting new patients |
Locations
3 West Ave
Le Roy, NY 14482
Phone (585) 224-5179
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 7753 | NY | Yes |
Addresses
Primary practice location
106 Munson Street
Leroy, NY 14482
Mailing address
3 West Ave
Le Roy, NY 14482-1381
Phone (585) 768-4655
Other providers in Leroy, NY
- Eileen Campbell
- Leroy Manor
- Leroy Physical Therapy and Athletic Training, PLLC
- Lisa Anne Main
- Patrick Steven Privatera
- Rite Aid of New York Inc
- Brandie Sue Rogoyski
- Marcella L Saeva
- Sawhney and Padmanabha Family Dentistry
All providers in Leroy, NY · Mental Health Counselor in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 1, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.