Individual provider Active NPI

Marissa E Chabai, LPC, RN

  • Mental Health Counselor
  • Black Hawk, CO
National Provider Identifier
1114485976
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC.0019399 Issued in CO
Practice address
102 Geranium Way
Black Hawk, CO 80422-4315
Phone
(703) 402-2556
NPI assigned
Mar 11, 2019
Last updated
Jan 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC.0019399 CO Primary
Registered Nurse 163W00000X 1629875 CO

Addresses

Primary practice location

102 Geranium Way
Black Hawk, CO 80422-4315

Mailing address

333 Maynard St Ste 402
Ann Arbor, MI 48104-2282
Phone (269) 998-1005

Other names 1

  • Marissa E Heebner Former name

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
LPC.0019399COMDMental Health Counselor
1629875COMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Buys Consulting, LLC Dba BLND Health CurrentSince Aug 3, 2025 Accepting new patients

Locations

333 Maynard St
Ste 402
Ann Arbor, MI 48104
Phone (269) 998-1005

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1552262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1114485976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 MAYNARD ST STE 402",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481042282",
            "telephone_number": "269-998-1005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 GERANIUM WAY",
            "city": "BLACK HAWK",
            "state": "CO",
            "postal_code": "804224315",
            "telephone_number": "703-402-2556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHABAI",
        "first_name": "MARISSA",
        "middle_name": "E",
        "credential": "LPC, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-11",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPC.0019399",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CO",
            "license": "1629875",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARISSA",
            "last_name": "HEEBNER",
            "middle_name": "E",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Black Hawk, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.