Individual provider Active NPI

Marnelle Deronette, MHC

  • Mental Health Counselor
  • Bronx, NY
National Provider Identifier
1750553335
Registry record updated Mar 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
004101-1 Issued in NY
Practice address
1990 Westchester Ave
Bronx, NY 10462-4504
Phone
(718) 239-1610
Fax
(718) 792-7053
NPI assigned
Mar 24, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2008

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 004101-1 NY Primary

Addresses

Primary practice location

1990 Westchester Ave
Bronx, NY 10462-4504

Mailing address

279 Main St
Suite 204
New Paltz, NY 12561-1623
Phone (845) 255-3046

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20260127001899 NY Practitioner - Mental Health Counselor 6800373366 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2001
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1110 S Ave
Suite 404
Staten Island, NY 10314

14962 254TH St FL
Suite 1
Rosedale, NY 11422-2725

500 Westover Dr
Sanford, NC 27330-8941

66 E Flagler St
Miami, FL 33130-1807

PO Box
Dallas, TX 75373

PO Box
Suite 141065
Staten Island, NY 10314-1065

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
004101-1NYMDMental Health Counselor
004101NYMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Mental Health CurrentSince Jan 15, 2026 Accepting new patients
Mental Health Specialty Group PA Mental Health CurrentSince Jan 17, 2026 Accepting new patients
Wagner Medical PC CurrentSince Jan 18, 2026 Accepting new patients
The Institute for Family Health Past Accepting new patients
Shine Medical PC Past Accepting new patients
Catholic Guardian Services PastSince Sep 5, 2018 Accepting new patients

Locations

100 Church St
Fl 8
New York, NY 10007
Phone (646) 357-3609

165 Broadway
Fl 23
New York, NY 10006
Phone (202) 972-4964

Organizations & group practices 6

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": "1206316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206316800000",
    "number": "1750553335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "279 MAIN ST",
            "address_2": "SUITE 204",
            "city": "NEW PALTZ",
            "state": "NY",
            "postal_code": "125611623",
            "telephone_number": "845-255-3046",
            "fax_number": "845-255-0236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 WESTCHESTER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104624504",
            "telephone_number": "718-239-1610",
            "fax_number": "718-792-7053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERONETTE",
        "first_name": "MARNELLE",
        "credential": "MHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-24",
        "last_updated": "2008-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "004101-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.