Marissa Bingham, M.S.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

T-0177501 Issued in NM

Practice address

1025 Hermosa Dr SE
Albuquerque, NM 87108-4312

Phone

(505) 237-0061

Fax

(505) 237-0068

NPI assigned

Jun 30, 2014

Last updated

Nov 11, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1404086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447200000000",
    "number": "1245645100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 SIERRA ROSA",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875077602",
            "telephone_number": "541-870-9374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 HERMOSA DR SE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871084312",
            "telephone_number": "505-237-0061",
            "fax_number": "505-237-0068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BINGHAM",
        "first_name": "MARISSA",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-30",
        "last_updated": "2015-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NM",
            "license": "T-0177501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglas Binder, MD
• Martin D Binder, ATC
• Jeremiah Binei
• Avery E Bingham, DMD
• Dixie Bingham III, LADAC
• Patille Bingham, LMSW
• Scott Nmi Bingham, DMD
• Michele Bingwael
• Bio-Medical Applications of New Mexico, Inc. (North Albuquerque Dialysis Center)
• Bio-Medical Applications of New Mexico, Inc. (Fresenius Kidney Care Central Albuquerque)

• Marriage & Family Therapist in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Marriage & Family Therapist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2015; 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.