Active NPI
Marissa Joy Lindgren, MS
- Mental Health Counselor
- Denver, CO
National Provider Identifier
1255830659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MFT.00001471
- Practice address
- 1776 S Jackson St Ste 503
Denver, CO 80210-3851 - Phone
- (509) 860-4921
- NPI assigned
- Feb 12, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MFT.00001471 | CO | Primary |
Addresses
Primary practice location
1776 S Jackson St Ste 503
Denver, CO 80210-3851
Mailing address
1776 S Jackson St Ste 503
Denver, CO 80210-3851
Other names 1
- Marissa Joy Thomas
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 27, 2024 through Feb 27, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFT.00001471 | CO | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595548800000",
"number": "1255830659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1776 S JACKSON ST STE 503",
"city": "DENVER",
"state": "CO",
"postal_code": "802103851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1776 S JACKSON ST STE 503",
"city": "DENVER",
"state": "CO",
"postal_code": "802103851",
"telephone_number": "509-860-4921"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINDGREN",
"first_name": "MARISSA",
"middle_name": "JOY",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-12",
"last_updated": "2020-07-24",
"certification_date": "2020-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "MFT.00001471",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARISSA",
"last_name": "THOMAS",
"middle_name": "JOY",
"credential": "MS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.