Marissa A Hartford

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

205 School St Ste 202
Gardner, MA 01440-2781

Phone

(978) 320-9533

NPI assigned

Dec 10, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575936000000",
    "number": "1407493372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "379 W ROYALSTON RD APT C2",
            "city": "ATHOL",
            "state": "MA",
            "postal_code": "013319328",
            "telephone_number": "978-320-9533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 SCHOOL ST STE 202",
            "city": "GARDNER",
            "state": "MA",
            "postal_code": "014402781",
            "telephone_number": "978-320-9533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARTFORD",
        "first_name": "MARISSA",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-12-10",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Hartform@youinc.org",
            "affiliation": "N",
            "address_1": "205 School St Ste 202",
            "city": "Gardner",
            "state": "MA",
            "country_code": "US",
            "postal_code": "014402781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alexandria Harding
• Amanda Harmon, MA
• Kasandra Ann Harper, LCSW
• Pamela Austill Harris, RN
• Alyssa Hart
• Iman Hassan
• Haven Rise Wellness PLLC
• Simon Hawes
• Shawn Hayden, LADC-II
• Health Resources of Gardner, Inc.

• Counselor in Gardner, MA
• Providers in Gardner, MA by specialty
• Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; 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.