Individual provider Active NPI

Marissa Kent, CMHT

  • Professional Counselor
  • Ridgeland, MS
National Provider Identifier
1437664679
Registry record updated Dec 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
665 S Pear Orchard Rd Ste 106-1165
Ridgeland, MS 39157-4861
Phone
(601) 283-2015
NPI assigned
Dec 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 3667 MS
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

665 S Pear Orchard Rd Ste 106-1165
Ridgeland, MS 39157-4861

Mailing address

665 S Pear Orchard Rd Ste 106-1165
Ridgeland, MS 39157-4861

Other practice location 1

302 Richmond St
Bogalusa, LA 70427-3942
Phone (985) 732-2089

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

State licenses

LicenseStateTypeSpecialty
3667MSMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Sweet Life Counseling LLC Professional CurrentSince Dec 1, 2019 Accepting new patients
Behaviroal Health &Wellness LLC PastSince Jan 1, 2020 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1512950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671580800000",
    "number": "1437664679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 S PEAR ORCHARD RD STE 106-1165",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391574861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 S PEAR ORCHARD RD STE 106-1165",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391574861",
            "telephone_number": "601-283-2015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "302 Richmond St",
            "address_purpose": "LOCATION",
            "city": "Bogalusa",
            "state": "LA",
            "postal_code": "704273942",
            "country_code": "US",
            "telephone_number": "985-732-2089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENT",
        "first_name": "MARISSA",
        "credential": "CMHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-11",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MS",
            "license": "3667",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgeland, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2022; 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.