Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Marissa Lee Douglas, LMHC

Individual provider Mental Health Counselor · NPI 1417600982

Marissa Lee Douglas, LMHC is a Mental Health Counselor in Brockport, New York. Qualified in 2015, 11 years ago. Practices with Oak Orchard Community Health Center, Inc, a 40-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
11
Licensed in
NY
In the registry since
2022
What do these letters mean?
LMHC — Licensed Mental Health Counselor
A licensed mental health counsellor; the title used in Florida, New York and Washington among others.

See every abbreviation used in this directory →

Practice location Address checks out

300 W Ave
Brockport, NY 14420-1118
Phone: (585) 637-3905
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 011838-01 (NY)

Record details

NPI number1417600982
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMHC
Sole proprietorNo
NPI enumeratedFebruary 3, 2022
Last updated in NPPESFebruary 3, 2022
Certification dateFebruary 3, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Oak Orchard Community Health Center, Inc. — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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