Individual provider Active NPI

Marissa Hodge

  • Mental Health Counselor
  • Altoona, PA
National Provider Identifier
1356747810
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC019901 Issued in PA
Practice address
311 E Pleasant Valley Blvd FL 2
Altoona, PA 16602-5512
Phone
(574) 546-1900
NPI assigned
Nov 11, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PC019901 PA Primary
Mental Health Counselor 101YM0800X 0701011415 VA

Addresses

Primary practice location

311 E Pleasant Valley Blvd FL 2
Altoona, PA 16602-5512

Mailing address

1004 Gallery CT
Jeannette, PA 15644-4826
Phone (703) 946-5377

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701011415VAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Guidestar Eldercare - PA Mental Health CurrentSince Aug 14, 2026 Accepting new patients
Center for Counseling and Growth, PLC PastSince Feb 23, 2025 Accepting new patients

Locations

311 E Pleasant Valley Blvd
#2
Altoona, PA 16602

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1415664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1356747810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1004 GALLERY CT",
            "city": "JEANNETTE",
            "state": "PA",
            "postal_code": "156444826",
            "telephone_number": "703-946-5377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 E PLEASANT VALLEY BLVD FL 2",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166025512",
            "telephone_number": "574-546-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGE",
        "first_name": "MARISSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-11",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC019901",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701011415",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, PA

Sources for this page

Verify at the official NPI Registry.