Marissa Amber Marlin, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

P2311009 Issued in AR

Practice address

250 Smokey LN
North Little Rock, AR 72117-2506

Phone

(501) 291-2024

NPI assigned

Jun 10, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Marissa Amber Deyoung Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1623283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1164099875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4535 GRAHAM DR",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720348205",
            "telephone_number": "870-378-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 SMOKEY LN",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721172506",
            "telephone_number": "501-291-2024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARLIN",
        "first_name": "MARISSA",
        "middle_name": "AMBER",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-10",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "P2311009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARISSA",
            "last_name": "DEYOUNG",
            "middle_name": "AMBER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shawn Michelle Marable, OD
• Nautica March
• Amiya Mardis
• Raymond L Marecek, MD
• Stephen R Marks, MD
• Marryland Therapy and Consultation LLC
• Shirley Ann Marshall, B.A.
• Arielle Rebekah Askren Marston, PSYD
• Martin Knee and Sports Medicine Center, PA
• India Martin

• Mental Health Counselor in North Little Rock, AR
• Providers in North Little Rock, AR by specialty
• Mental Health Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.