MRS. MARIYA I MARTYNENKO (MA) – Professional Counselor, NPI 1215077227

MRS. MARIYA I MARTYNENKO (MA) is a healthcare provider. based in Nutley, New Jersey. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials MA. They hold a License No. 37PC00315800 (NJ). The NPI Number for MRS. MARIYA I MARTYNENKO (MA) is 1215077227

Main info

Female
Sole Proprietor
28 Years Of Experience
Accepts Medicare Assignment
Name
MRS. MARIYA I MARTYNENKO (MA)
NPI
1215077227
Phone
(973) 661-5234
Address
452 River Rd.
Enumeration Date
7 February 2007
Last Update Date
20 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2014885161
Graduation Year
1998 (28 years ago)
PAC ID
0749625689
Group Practice PAC ID
0648239988
Professional Enrollment ID
I20240229004318
Address ID
NJ076623019RO340XXSTXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

1,093 MENTAL HEALTH COUNSELOR in NJ

Provider Addresses for MRS. MARIYA I MARTYNENKO (MA)

  • 452 River Rd.

    Apt.L

    Nutley, NJ 07110

    Phone: (973) 661-5234

    Type: Location

  • 452 RIVER RD APT L

    NUTLEY, NJ 071103639

    Phone: (973) 661-5234

    Type: Mailing

  • 452 RIVER RD.

    APT.L

    NUTLEY, NJ 07110

    Phone: (973) 661-5234

    Type: Location

  • 340 W PASSAIC ST STE 1

    ROCHELLE PARK, NJ 076623019

    Phone: (201) 488-5161

    Fax: (201) 488-5162

    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: 2024-02-29

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
I20240229004318IMental Health CounselorNJTBD

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 07110)

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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: 0648239988View full group profile
NameSpecialtyState
P S Y C H I A T R YNJ
Clinical Social WorkerFL
Clinical PsychologistNJ
Mental Health CounselorFL
Mental Health CounselorFL
Nurse PractitionerFL
Clinical Social WorkerFL
Clinical Social WorkerNJ
-FL
Mental Health CounselorFL

Reviews

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Frequently asked questions

What is the 10-digit NPI for MRS. MARIYA I MARTYNENKO (MA)?
MRS. MARIYA I MARTYNENKO (MA) — NPI 1215077227 — is the standard way to identify this listing.
Is MRS. MARIYA I MARTYNENKO (MA) listed as active for patients and plans?
The listing shows MRS. MARIYA I MARTYNENKO (MA) as active in the NPI system.
What healthcare role does MRS. MARIYA I MARTYNENKO (MA) hold?
Scheduling teams often label MRS. MARIYA I MARTYNENKO (MA) under Professional Counselor. Clinical services aligned with this taxonomy classification.
What address line appears for MRS. MARIYA I MARTYNENKO (MA)?
MRS. MARIYA I MARTYNENKO (MA)'s geographic hint is Nutley, New Jersey in our summary view.
Why does MRS. MARIYA I MARTYNENKO (MA) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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