Marissa Sibley, MS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

IMH 14046 Issued in FL

Practice address

9101 Ducale Way
Apt 202
Palm Beach Gardens, FL 33418-8132

Phone

(305) 205-5157

NPI assigned

Mar 30, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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": "1459296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459296000000",
    "number": "1366805111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2208 S MIAMI AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331291521",
            "telephone_number": "305-205-5157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9101 DUCALE WAY",
            "address_2": "APT 202",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334188132",
            "telephone_number": "305-205-5157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIBLEY",
        "first_name": "MARISSA",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-30",
        "last_updated": "2016-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH 14046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Vermont Shortridge Jr., CAA
• Danielle Nicole Shrank, PSY.S
• Larry M Shrier, M.A.
• Rudy Shrier, MS, LMHC
• Yana Shtern, M.D.
• Gabriella Dora Sicolo
• Kasie Sidman
• Siegal Chiropractic Inc
• Mitchell Allen Siegal, DC
• Sienna Psychology of the Palm Beaches, LLC

• Mental Health Counselor in Palm Beach Gardens, FL
• Providers in Palm Beach Gardens, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2016; 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.