Active NPI
Marissa Keep
- Counselor
- Plymouth, MI
National Provider Identifier
1285411645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 42217 Ann Arbor Rd E
Plymouth, MI 48170-4364 - Phone
- (734) 737-1455
- NPI assigned
- Sep 11, 2023
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
42217 Ann Arbor Rd E
Plymouth, MI 48170-4364
Mailing address
1313 Natalie LN Apt 103
Ann Arbor, MI 48105-2904
Phone (231) 944-6265
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": "1694390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695686400000",
"number": "1285411645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1313 NATALIE LN APT 103",
"city": "ANN ARBOR",
"state": "MI",
"postal_code": "481052904",
"telephone_number": "231-944-6265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42217 ANN ARBOR RD E",
"city": "PLYMOUTH",
"state": "MI",
"postal_code": "481704364",
"telephone_number": "734-737-1455"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEEP",
"first_name": "MARISSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-11",
"last_updated": "2023-09-26",
"certification_date": "2023-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Plymouth, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.