Maryellen Dance, LMHC
Counselor in Syracuse, NY. Individual provider (NPI-1).
NPI number1194004036
StatusActive
Last updated in NPPESNov 19, 2015
Details
- NPI
- 1194004036
- Entity type
- Individual (NPI-1)
- Name
- Maryellen Dance
- Credential
- LMHC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 10, 2011
- Last updated
- Nov 19, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - MENTAL HEALTH COUNSELOR
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
1045 James StSyracuse, NY 13203-2730
Phone 315-425-1004
Mailing address
1045 James StSyracuse, NY 13203-2730
Phone 315-425-1004
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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