Marissa Hancock, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

39003549A Issued in IN

Practice address

3413 Paoli Pike
Floyds Knobs, IN 47119-9702

Phone

(502) 817-1385

NPI assigned

Jan 3, 2013

Last updated

Dec 13, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  IN

  Medicare reassignment NPD
• Southern Indiana Therapeutics, LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Starlight, IN
  • NPI 1679182174
  NPD Authorized official

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

{
    "created_epoch": "1357171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607817600000",
    "number": "1174869606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2819 ENGLE RD",
            "city": "STARLIGHT",
            "state": "IN",
            "postal_code": "471068423",
            "telephone_number": "502-817-1385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3413 PAOLI PIKE",
            "city": "FLOYDS KNOBS",
            "state": "IN",
            "postal_code": "471199702",
            "telephone_number": "502-817-1385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANCOCK",
        "first_name": "MARISSA",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-03",
        "last_updated": "2020-12-13",
        "certification_date": "2020-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39003549A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nilmar Paola Gonzalez
• Gwyneth E Gorley, PT
• H. Fred Preuss, Jr.
• Corbin Hale
• Tamara Haley, MS, CEP, CDCES
• Debra K Harter, PT
• Highlander Fire Protection District
• Jennifer Lynne Himelick, RPH.
• Traci Hutchins, PT
• Inpatient Services Association LLC

• Mental Health Counselor in Floyds Knobs, IN
• Providers in Floyds Knobs, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.