Active NPI
Marissa Noelle Edwards
- Health Service Psychologist
- North Chesterfield, VA
National Provider Identifier
1174438857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Psychologist
- License
- A0491
- Practice address
- 4605 Landing Cir
North Chesterfield, VA 23236-4730 - Phone
- (804) 350-4565
- NPI assigned
- Aug 17, 2026
- Last updated
- Aug 17, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Psychologist | 103TH0100X | A0491 | MD | Primary |
Addresses
Primary practice location
4605 Landing Cir
North Chesterfield, VA 23236-4730
Mailing address
4605 Landing Cir
North Chesterfield, VA 23236-4730
Phone (804) 350-4565
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1786924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786924800000",
"number": "1174438857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4605 LANDING CIR",
"city": "NORTH CHESTERFIELD",
"state": "VA",
"postal_code": "232364730",
"telephone_number": "804-350-4565"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4605 LANDING CIR",
"city": "NORTH CHESTERFIELD",
"state": "VA",
"postal_code": "232364730",
"telephone_number": "804-350-4565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "MARISSA",
"middle_name": "NOELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-08-17",
"last_updated": "2026-08-17",
"certification_date": "2026-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "103TH0100X",
"taxonomy_group": "",
"desc": "Psychologist, Health Service",
"state": "MD",
"license": "A0491",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Chesterfield, VA
- Tamica Edmonds, LPC
- Te'Sarah Edmondson, COTA
- Lisa Cseh Edsall, MD, PHD
- Brittney Lynskey Edwards, CSAC-A, RPRS
- Jennifer Goode Edwards, DPM
- Regina C Edwards
- Efficient Support Services, LLC
- Eh Home Health of the Mid Atlantic, LLC (Enhabit Hospice)
- Eh Home Health of the Mid Atlantic, LLC (Enhabit Home Health)
- Daneyelle Elder, MT-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.