Marissa Eden Merino, MFT, LIFE COACH

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

37AC00872100 Issued in NJ

Practice address

691 US Highway 130 Ste 5
Robbinsville, NJ 08691-2207

Phone

(609) 806-5083

NPI assigned

Jun 4, 2025

Last updated

Jun 4, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Marissa Eden Ticktin Former name

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Counseling Center at Clark, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Clark, NJ
  • NPI 1245637578
  Medicare reassignment NPD

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

{
    "created_epoch": "1748995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1003700139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 KLOCKNER RD APT 46",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086193620",
            "telephone_number": "609-649-0844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "691 US HIGHWAY 130 STE 5",
            "city": "ROBBINSVILLE",
            "state": "NJ",
            "postal_code": "086912207",
            "telephone_number": "609-806-5083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERINO",
        "first_name": "MARISSA",
        "middle_name": "EDEN",
        "name_prefix": "Mrs.",
        "credential": "MFT, LIFE COACH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-04",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NJ",
            "license": "37AC00872100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARISSA",
            "last_name": "TICKTIN",
            "middle_name": "EDEN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Rose McGeever, D.O.
• Brianna McNair, OTD, OTR/L
• Mediwell Pharmacy LLC (MediWell Pharmacy)
• Livia Menafra, MA
• Arianna Menna
• Methodist Associates in Healthcare of New Jersey, P.C. (Jefferson Community Physicians of New Jersey)
• Robert Mignone, D.O.
• Lauren Hayley Miller, RDN
• Mitra Home Care LLC
• Keyur Modi

• Marriage & Family Therapist in Robbinsville, NJ
• Providers in Robbinsville, NJ by specialty
• Marriage & Family Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.