Marisa Anderson

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

10786 Issued in MA

Practice address

1158 Massachusetts Ave FL 3
Cambridge, MA 02138-5205

Phone

(857) 314-0554

NPI assigned

Oct 24, 2016

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Sep 3, 2025 through Sep 3, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1477267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548115200000",
    "number": "1003367152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1158 MASSACHUSETTS AVE FL 3",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021385205",
            "telephone_number": "857-314-0554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1158 MASSACHUSETTS AVE FL 3",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021385205",
            "telephone_number": "857-314-0554"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "270 Pleasant St",
            "address_2": "Apt. 124",
            "address_purpose": "LOCATION",
            "city": "Watertown",
            "state": "MA",
            "postal_code": "024722470",
            "country_code": "US",
            "telephone_number": "860-985-6269",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "270 Pleasant St",
            "address_2": "Apt. 124",
            "address_purpose": "LOCATION",
            "city": "Watertown",
            "state": "MA",
            "postal_code": "024722470",
            "country_code": "US",
            "telephone_number": "860-985-6269",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "86 Baker Avenue Ext Ste 100",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "MA",
            "postal_code": "017422132",
            "country_code": "US",
            "telephone_number": "978-369-1113 x4116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "MARISA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-24",
        "last_updated": "2019-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "10786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Andersen, MS
• Chelsea Anderson
• Dorothy L Anderson, LICSW
• Elizabeth C Anderson, LICSW
• John Anderson, MD
• Virginia Andradas, RN
• Andrew Schwartz-Hinds DMD PLLC
• Caroline Andrew
• Bridget Elizabeth Andrews, DPT
• Jane Andrews, LICSW

• Mental Health Counselor in Cambridge, MA
• Providers in Cambridge, MA by specialty
• Mental Health Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.