Marissa Douglas, LMHC
NPI 1417600982 · Mental Health Counselor · Brockport, NY
Enrolled with Medicare as Practitioner - Mental Health Counselor · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Marissa Douglas, LMHC is a Mental Health Counselor provider in Brockport, NY (NPI 1417600982).
Provider details
- NPI number
- 1417600982
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LMHC
- Sex
- Female
- Sole proprietor
- No
- License
- 011838-01 (NY)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-02-03
- Last updated
- 2022-02-03
- Certified
- 2022-02-03
Frequently asked questions
- What is Marissa Douglas's NPI number?
- Marissa Douglas's National Provider Identifier (NPI) is 1417600982, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Marissa Douglas's specialty?
- Marissa Douglas is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Marissa Douglas located?
- Marissa Douglas's practice location on file with NPPES is 300 West Ave, Brockport, NY 14420-1118.
- What is Marissa Douglas's phone number?
- The practice phone number listed in the NPPES registry for Marissa Douglas is (585) 637-3905.
- Does Marissa Douglas accept Medicare?
- Marissa Douglas is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Marissa Douglas's NPI active?
- Yes — Marissa Douglas's NPI (1417600982) is active in the NPPES registry as of the last update on 2022-02-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.