Active NPI
Marissa Pine
- Counselor
- Chambersburg, PA
National Provider Identifier
1407671597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 50 Black Ave
Chambersburg, PA 17201-2115 - Phone
- (717) 262-4969
- Fax
- (717) 263-1647
- NPI assigned
- Nov 22, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary | ||
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
50 Black Ave
Chambersburg, PA 17201-2115
Mailing address
200 N 7TH St
Lebanon, PA 17046-5040
Phone (717) 272-5464
Other practice location 1
1015 Pennsylvania Ave
Irwin, PA 15642-3737
Phone (866) 297-2036
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1732233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744761600000",
"number": "1407671597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 N 7TH ST",
"city": "LEBANON",
"state": "PA",
"postal_code": "170465040",
"telephone_number": "717-272-5464",
"fax_number": "717-376-1712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 BLACK AVE",
"city": "CHAMBERSBURG",
"state": "PA",
"postal_code": "172012115",
"telephone_number": "717-262-4969",
"fax_number": "717-263-1647"
}
],
"practiceLocations": [
{
"address_1": "1015 Pennsylvania Ave",
"address_purpose": "LOCATION",
"city": "Irwin",
"state": "PA",
"postal_code": "156423737",
"country_code": "US",
"telephone_number": "866-297-2036",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PINE",
"first_name": "MARISSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-22",
"last_updated": "2025-04-16",
"certification_date": "2025-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chambersburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.