Marissa R Abbott

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

MARISSA R ABBOTT

Practice address

919 Wildwood Dr
Suite 104
Jefferson City, MO 65109-5798

Phone

(573) 635-9654

Fax

(573) 635-4466

NPI assigned

Dec 15, 2015

Last updated

Apr 21, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marissa Rae Abbott, LPC

Title

Licensed Professional Counselor

Phone

(573) 286-5023

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1450137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461196800000",
    "number": "1093170219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 HOBBS RD",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651096819",
            "telephone_number": "573-286-5023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 WILDWOOD DR",
            "address_2": "SUITE 104",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651095798",
            "telephone_number": "573-635-9654",
            "fax_number": "573-635-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARISSA R ABBOTT",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-15",
        "last_updated": "2016-04-21",
        "status": "A",
        "authorized_official_last_name": "ABBOTT",
        "authorized_official_first_name": "MARISSA",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "573-286-5023",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Jefferson City, MO
• Providers in Jefferson City, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2016; 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.