Active NPI
Marissa Swanson, MA, LPC
- Mental Health Counselor
- Portland, OR
National Provider Identifier
1346053188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- C9363
- Practice address
- 2330 NW Flanders St
Portland, OR 97210-3442 - Phone
- (971) 257-1851
- NPI assigned
- Jan 27, 2025
- 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 | C9363 | OR | Primary |
Addresses
Primary practice location
2330 NW Flanders St
Portland, OR 97210-3442
Mailing address
41 Aquinas St
Lake Oswego, OR 97035-1203
Phone (925) 389-6425
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C9363 | OR | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737936000000",
"number": "1346053188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "41 AQUINAS ST",
"city": "LAKE OSWEGO",
"state": "OR",
"postal_code": "970351203",
"telephone_number": "925-389-6425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2330 NW FLANDERS ST",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972103442",
"telephone_number": "971-257-1851"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWANSON",
"first_name": "MARISSA",
"credential": "MA, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-27",
"last_updated": "2025-01-27",
"certification_date": "2025-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OR",
"license": "C9363",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.