Individual provider Active NPI

Marissa Williams, M.A, LPC, CCTP

  • Professional Counselor
  • North Chesterfield, VA
National Provider Identifier
1124770805
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701011167 Issued in VA
Practice address
1913 Huguenot Rd Ste 200
North Chesterfield, VA 23235-4329
Phone
(804) 659-3577
NPI assigned
Jan 24, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701011167 VA Primary

Addresses

Primary practice location

1913 Huguenot Rd Ste 200
North Chesterfield, VA 23235-4329

Mailing address

1913 Huguenot Rd
North Chesterfield, VA 23235-4329
Phone (804) 659-3577

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
Master of Arts

State licenses

LicenseStateTypeSpecialty
0701011167VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Geneva Wellness Studio Professional CurrentSince Sep 8, 2025 Accepting new patients
Family Focus, LLC PastSince Feb 1, 2022 Accepting new patients
Family Focus, LLC PastSince Aug 27, 2023 Accepting new patients

Locations

1913 Huguenot Rd
Ste 200
North Chesterfield, VA 23235
Phone (804) 659-3577

1913 Huguenot Rd
North Chesterfield, VA 23235
Phone (804) 215-6650

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1642982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756771200000",
    "number": "1124770805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1913 HUGUENOT RD",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232354329",
            "telephone_number": "804-659-3577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1913 HUGUENOT RD STE 200",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232354329",
            "telephone_number": "804-659-3577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MARISSA",
        "name_prefix": "Mrs.",
        "credential": "M.A, LPC, CCTP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-24",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701011167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.