Individual provider Active NPI

Marie Marcelin St. Louis, LMHC, NCC

  • Professional Counselor
  • West Babylon, NY
National Provider Identifier
1689398760
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
012848-01 Issued in NY
Practice address
309 Old Farmingdale Rd
West Babylon, NY 11704-6425
Phone
(516) 670-5691
NPI assigned
Oct 3, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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 012848-01 NY Primary

Addresses

Primary practice location

309 Old Farmingdale Rd
West Babylon, NY 11704-6425

Mailing address

245 E Hudson St
Long Beach, NY 11561-2286
Phone (516) 670-5691

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20250714000300 VA Practitioner - Mental Health Counselor 0345755096 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Light Counseling, Inc.Group PAC ID 1052702065, 23 clinicians

Practice addresses (Care Compare)

12000 Wyndham Lake Dr
Suite B
Glen Allen, VA 23059-7072
Phone (804) 378-3364

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
012848-01NYMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Light Counseling, Inc. Professional CurrentSince Apr 5, 2025 Accepting new patients
Light Counseling, Inc. Professional PastSince Oct 9, 2022 Accepting new patients

Locations

1075 Light Blvd
Forest, VA 24551
Phone (832) 794-0515

12000 Wyndham Lake Dr
Ste B
Glen Allen, VA 23059
Phone (804) 378-3364

20564 Timberlake Rd
Ste B
Lynchburg, VA 24502
Phone (434) 473-7723

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1689398760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 E HUDSON ST",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115612286",
            "telephone_number": "516-670-5691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 OLD FARMINGDALE RD",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117046425",
            "telephone_number": "516-670-5691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST. LOUIS",
        "first_name": "MARIE",
        "middle_name": "MARCELIN",
        "credential": "LMHC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-03",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NY",
            "license": "012848-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Babylon, NY

Sources for this page

Verify at the official NPI Registry.