Mary Lerouge, LCSW PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

089374 Issued in NY

Practice address

720 Route 17M Ste 101a
Middletown, NY 10940-4346

Phone

(945) 391-3812

NPI assigned

Sep 14, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Clinical Social Worker

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Mary Lerouge LCSW PLLC

  • Mental Health Counselor
  • Middletown, NY
  • NPI 1043825029
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1442188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634169600000",
    "number": "1700254349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 ROUTE 17M STE 101A",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109404346",
            "telephone_number": "945-391-3812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 ROUTE 17M STE 101A",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109404346",
            "telephone_number": "945-391-3812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEROUGE",
        "first_name": "MARY",
        "credential": "LCSW PLLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-14",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "089374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mary.lerouge@mbbcounseling.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "720 Route 17M Ste 101A",
            "city": "Middletown",
            "state": "NY",
            "country_code": "US",
            "postal_code": "109404346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michelle Carol Lendore
• Jeanne Marie Lenzer, PA
• Marjorie Yolanda Leon, CPNP-PC
• Nidia M Leonido
• Melanie Ariana Lerner, PA
• Marilyn Leroy-Sterling, NP
• Doreena Lesanics, PHD
• Seth Joseph Lessner, MD
• Jessica Alice Letherbarrow, PT, DPT
• Lets Talk Wellness Counseling Psychiatric NP Services

• Mental Health Counselor in Middletown, NY
• Providers in Middletown, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.