Marisa Phillips, MS, LMFT
Individual provider Active NPI Marriage & Family Therapist · Rawlins, WY
NPI 1144816398 · NPPES record last updated Nov 4, 2025
Key facts
- NPI
- 1144816398
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 307 (WY)
- Practice address
- 309 W Spruce St
Rawlins, WY 82301-5545 - Phone
- (307) 417-0436
- NPI assigned
- Dec 11, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240113000444 | WY | Practitioner - Marriage and Family Therapist | 2961854070 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| High Country Behavioral Health | Current | Accepting new patients | |
| High Country Behavioral Health | Current |
Accepting new patients | |
| Headway California Behavioral Health Services, P.C. | Current |
Accepting new patients | |
| Mountains Therapy and Wellness LLC | Current |
Accepting new patients | |
| High Country Behavioral Health | Current |
Accepting new patients |
Locations
205 Hudson St
Fl 9
New York, NY 10013
Phone (631) 488-0609
2100 E Cedar St
Ofc J
Rawlins, WY 82301
721 W Maple St
Rawlins, WY 82301
Phone (307) 324-7156
121 S 4th St
Thermopolis, WY 82443
Phone (307) 864-3138
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 301 | WY | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Marriage & Family Therapist | 106H00000X | 307 | WY | Yes |
Addresses
Primary practice location
309 W Spruce St
Rawlins, WY 82301-5545
Mailing address
2222 Cutty Sark Blvd
Rawlins, WY 82301-4227
Phone (307) 349-5627
Other providers in Rawlins, WY
- Josiah Peck
- Jim P Pederson
- Aspen Baley Penman
- Linda Perry
- Martin Peterson
- Daniel Aaron Pont
- George Henry Postlethwaite
- Ricardo Prado
- Praxis Wellness
- Premium Health at Home Rawlins LLC
All providers in Rawlins, WY · Marriage & Family Therapist in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 4, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.