Individual provider Active NPI

Marisa Finlayson, P-LPC, NCC, PCMHT

  • Professional Counselor
  • Clinton, MS
National Provider Identifier
1053970970
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3154 Issued in MS
Practice address
604 Highway 80 W Ste R
Clinton, MS 39056-4108
Phone
(601) 473-2106
Fax
(601) 473-2150
NPI assigned
Jun 13, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 3154 MS Primary
Case Manager/Care Coordinator 171M00000X

Addresses

Primary practice location

604 Highway 80 W Ste R
Clinton, MS 39056-4108

Mailing address

604 Highway 80 W Ste R
Clinton, MS 39056-4108
Phone (601) 473-2106

Other practice location 1

124 Mallard St
Greenville, SC 29601-4046
Phone (864) 241-1040 ext. 210

Other identifiers 1

IdentifierTypeStateIssuer
301100MedicaidSC

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3154MSMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1560384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751500800000",
    "number": "1053970970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 HIGHWAY 80 W STE R",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390564108",
            "telephone_number": "601-473-2106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 HIGHWAY 80 W STE R",
            "city": "CLINTON",
            "state": "MS",
            "postal_code": "390564108",
            "telephone_number": "601-473-2106",
            "fax_number": "601-473-2150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "124 Mallard St",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "SC",
            "postal_code": "296014046",
            "country_code": "US",
            "telephone_number": "864-241-1040 x210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FINLAYSON",
        "first_name": "MARISA",
        "credential": "P-LPC, NCC, PCMHT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-13",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "3154",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "301100",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.