Marissa Renella, MT-BC, MTL

Primary specialty

Music TherapistTaxonomy code 225A00000X

License

MU61651326 Issued in WA

Practice address

4033 E Madison St Ste 108
Seattle, WA 98112-3104

Phone

(206) 438-4068

NPI assigned

Apr 25, 2025

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 identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1745539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745539200000",
    "number": "1053109686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2506 WETMORE AVE APT A",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982012920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4033 E MADISON ST STE 108",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981123104",
            "telephone_number": "206-438-4068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENELLA",
        "first_name": "MARISSA",
        "credential": "MT-BC, MTL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-25",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225A00000X",
            "taxonomy_group": "",
            "desc": "Music Therapist",
            "state": "WA",
            "license": "MU61651326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFICATION BOARD FOR MUSIC THERAPISTS",
            "identifier": "14090",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WASHINGTON STATE DEPARTMENT OF HEALTH",
            "identifier": "MU61651326",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jill Render, M.D.
• Jarred John Rendon
• Amy Renee, RN
• Sally Renee, LMP
• Renegades for Life Inc
• Renewtrition, LLC
• Mary Ann Renfro, P.T.
• Andrea Renfroe, M.S.
• John James Renfrow
• Kenna Renfrow, L.M.P.

• Music Therapist in Seattle, WA
• Providers in Seattle, WA by specialty
• Music Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.