NPPES file of Aug 9, 2026

Marissa Lee Douglas, LMHC

Mental Health Counselor · Brockport, NY

Marissa Lee Douglas, LMHC is a mental health counselor with a practice address in Brockport, New York, and NPI 1417600982, issued on Feb 3, 2022. Check the license (New York 011838-01, as entered in NPPES) with the New York board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1417600982
Name
Marissa Lee Douglas
Credential
LMHC
Primary taxonomy
Mental Health Counselor 101YM0800X
License number
011838-01 NY
Self-reported in NPPES; status is on the state search
Practice location
300 West Ave, Brockport, NY 14420
Phone
(585) 637-3905
Enumerated
Feb 3, 2022
Record last updated
Feb 3, 2022
Medicare enrollment
Enrolled (PECOS I20240130003362); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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8 nearest mental health counselor records → All 19,989 in New York → Look up another NPI →

Also registered at 300 West Ave

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Karen Allen, RDHDental Hygienist1013081116
  2. Shannon Bartlett, NPAdult Health Nurse Practitioner1861154825
  3. Nichole Bedford, RDHDental Hygienist1619170412
  4. Catherine Burke, CNMAdvanced Practice Midwife1629014410
  5. Ya-Chen Chang, DDSGeneral Practice Dentistry1669403986
  6. Melessa Chatt, RDHDental Hygienist1629142740

Verify Marissa Lee Douglas in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich New York board licenses this profession
    Search for license 011838-01    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the New York license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through one group practice

  1. Oak Orchard Community Health Center, Inc.Brockport, NY

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Marissa Lee Douglas among 19,989 mental health counselor records in New York

Marissa Lee Douglas, LMHC is one of 19,989 mental health counselor records with a practice address in New York. 6% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2022, is newer than 62% of them.

  • NPI issued2022 · 62% of these records are older, 31% newer
  • In a Medicare fileYes · 6% of these records are
  • In the CMS Doctors and Clinicians fileYes · 11% of these records are
  • Graduated2015 · median 2018 among the 2,142 with a school on file
  • Record last updated2022 · 46% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 101YM0800X and a New York practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

9 mental health counselor records list a practice address in Brockport

They are 9 of the 357 NPPES records with a practice address in Brockport, and 19,989 mental health counselor records in New York.

All 19,989 in New York → Every provider in Brockport → Mental Health Counselor nationwide →

The 8 mental health counselor records with the nearest ZIP codes

  1. Erika Darrow, LMHCBrockport, NY 144201134583826
  2. Melissa FeolaBrockport, NY 144201619822657
  3. Samantha Golden, LMHC, NCC, CCTPBrockport, NY 144201336703859
  4. Samantha Hancy, LMHCBrockport, NY 144201891643995
  5. Pamela Kaufman, LMHC CRCBrockport, NY 144201649542119
  6. Erich MontfortBrockport, NY 144201013786441
  7. Frank NollRochester, NY 144201972264687
  8. Barbara Shulla, LMHC, LMFTBrockport, NY 144201194732396

Common questions

What is Marissa Lee Douglas, LMHC's NPI number?

Marissa Lee Douglas, LMHC's National Provider Identifier (NPI) is 1417600982, issued on Feb 3, 2022. An NPI identifies a provider in billing; it is not a license.

Where is Marissa Lee Douglas, LMHC located?

The NPPES record lists a practice address at 300 West Ave, Brockport, NY, 14420. Phone: (585) 637-3905. Providers update this record themselves, so call before visiting.

How can I verify Marissa Lee Douglas, LMHC's license?

NPPES lists New York license number 011838-01, as entered by the provider. Search the New York board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.