Individual provider Active NPI

Maryanna Millan, LP

  • Mental Health Counselor
  • Delmar, NY
National Provider Identifier
1316830433
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
P135200 Issued in NY
Practice address
196 Delaware Ave
Delmar, NY 12054-1230
Phone
(518) 439-0033
Fax
(518) 439-7167
NPI assigned
May 29, 2025
Last updated
May 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2025

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 P135200 NY Primary

Addresses

Primary practice location

196 Delaware Ave
Delmar, NY 12054-1230

Mailing address

196 Delaware Ave
Delmar, NY 12054-1230
Phone (518) 439-0033

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
P135200NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Brian L. Fast, Psy.D. and Stephen P. Greggo, Psy.D, Psychologists, P.C CurrentSince Jun 3, 2025 Accepting new patients
Cca Wellness Network Ipa LLC CurrentSince Jun 3, 2025 Accepting new patients

Organizations & group practices 2

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": "1748476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1316830433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 DELAWARE AVE",
            "city": "DELMAR",
            "state": "NY",
            "postal_code": "120541230",
            "telephone_number": "518-439-0033",
            "fax_number": "518-439-7167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 DELAWARE AVE",
            "city": "DELMAR",
            "state": "NY",
            "postal_code": "120541230",
            "telephone_number": "518-439-0033",
            "fax_number": "518-439-7167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLAN",
        "first_name": "MARYANNA",
        "credential": "LP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-29",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "P135200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delmar, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; 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.