MARLENE HENRIQUEZ – Mental Health Counselor, NPI 1689193625

MARLENE HENRIQUEZ is a healthcare provider. based in Ypsilanti, Michigan. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. 6401225165 (MI). The NPI Number for MARLENE HENRIQUEZ is 1689193625

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
MARLENE HENRIQUEZ
NPI
1689193625
Phone
(201) 730-2462
Address
1948 WHITE OAK LN
Enumeration Date
11 September 2017
Last Update Date
11 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5173763002
Graduation Year
2018 (8 years ago)
PAC ID
0941710107
Group Practice PAC ID
9133539158
Professional Enrollment ID
I20250607000043
Address ID
MI488432579HO745XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness85
Years active:8State licenses:1Digital endpointsOther names

2,023 MENTAL HEALTH COUNSELOR in MI

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Provider Addresses for MARLENE HENRIQUEZ

  • 1948 WHITE OAK LN

    YPSILANTI, MI 481989546

    Phone: (201) 730-2462

    Type: Mailing

  • Uptown Coffeehouse, 102, East Grand River Avenue, Howell, Livingston County, Michigan, 48843, United States

    HOWELL, MI 488437555

    Phone: (743) 368-9770

    Type: Mailing

  • 745 S WALNUT ST

    HOWELL, MI 488432579

    Phone: (201) 730-2462

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-06-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250607000043IMental Health CounselorMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48198)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9133539158View full group profile
NameSpecialtyState
Mental Health CounselorMI
Clinical Social WorkerMI
Clinical PsychologistMI

Reviews

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Frequently asked questions

How do I look up MARLENE HENRIQUEZ by NPI?
Use NPI 1689193625 when you need to reference MARLENE HENRIQUEZ in forms, claims, or directories.
Is MARLENE HENRIQUEZ currently active in the NPI registry?
CMS-published data lists MARLENE HENRIQUEZ as an active registrant.
What does MARLENE HENRIQUEZ treat or focus on?
Patients typically see MARLENE HENRIQUEZ under the specialty Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Where does public data place MARLENE HENRIQUEZ?
The snapshot lists Ypsilanti, Michigan for MARLENE HENRIQUEZ; download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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