Marissa Huffman

Primary specialty

CounselorTaxonomy code 101Y00000X

License

6401019417 Issued in MI

Practice address

6135 Cressy St
Indian River, MI 49749-5151

Phone

(231) 238-8908

Fax

(231) 238-4419

NPI assigned

Jul 30, 2021

Last updated

Jan 23, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: marissa.huffman.p1@direct.alcona.nextgenshare.com

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

{
    "created_epoch": "1627603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1376216812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 655",
            "city": "ALPENA",
            "state": "MI",
            "postal_code": "497070655",
            "telephone_number": "989-736-9815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6135 CRESSY ST",
            "city": "INDIAN RIVER",
            "state": "MI",
            "postal_code": "497495151",
            "telephone_number": "231-238-8908",
            "fax_number": "231-238-4419"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3434 M 119 Ste C",
            "address_purpose": "LOCATION",
            "city": "Harbor Springs",
            "state": "MI",
            "postal_code": "497409373",
            "country_code": "US",
            "telephone_number": "231-348-9900",
            "fax_number": "989-358-3780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUFFMAN",
        "first_name": "MARISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-30",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MI",
            "license": "6401019417",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6401019417",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katheleen Joan Hart, LLPC
• Douglas L Hebert, DC
• Julie A Hodson, N.P.
• Dana J Hollenbeck, D.D.S.
• Suzanne C Howard, PT
• Kala June Hutchinson, LPC, CAADC
• Indian River Family Dentistry PLLC
• Indian River Pharmacy
• Indian River Village Pharmacy Inc
• Jann la Dere MSW LLC

• Counselor in Indian River, MI
• Providers in Indian River, MI by specialty
• Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.

Verify at the official NPI Registry.