Active NPI
Alyssa Danielle Marso, FNP, AGNP, BMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Columbia, MO
National Provider Identifier
1023610318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- G173571
- Practice address
- 1400 Forum Blvd Ste 7a
Columbia, MO 65203-1997 - Phone
- (573) 200-6024
- Fax
- (573) 224-1862
- NPI assigned
- Nov 11, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 2019040441 | MO | |
| Gerontology Nurse Practitioner | 363LG0600X | 2019001529 | MO | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | G173571 | IA | Primary |
| Family Nurse Practitioner | 363LF0000X | 2019040442 | MO |
Addresses
Primary practice location
1400 Forum Blvd Ste 7a
Columbia, MO 65203-1997
Mailing address
1400 Forum Blvd
Columbia, MO 65203-1938
Phone (573) 200-6024
Other names 1
- Alyssa Danielle Johnson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2019040442 | MO | MD | Family Nurse Practitioner |
| G173571 | IA | MD | Psychiatric/Mental Health Nurse Practitioner |
| 2019040441 | MO | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marso Ventures LLC | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Nurse Practitioner
- Columbia, MO
- NPI 1932063716
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773014400000",
"number": "1023610318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 FORUM BLVD",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652031938",
"telephone_number": "573-200-6024",
"fax_number": "573-224-1862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 FORUM BLVD STE 7A",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652031997",
"telephone_number": "573-200-6024",
"fax_number": "573-224-1862"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSO",
"first_name": "ALYSSA",
"middle_name": "DANIELLE",
"credential": "FNP, AGNP, BMHNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-11",
"last_updated": "2026-03-09",
"certification_date": "2026-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MO",
"license": "2019040441",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "MO",
"license": "2019001529",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "IA",
"license": "G173571",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2019040442",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALYSSA",
"last_name": "JOHNSON",
"middle_name": "DANIELLE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.