Individual provider Active NPI

Marissa Robertson

  • Professional Counselor
  • Columbus, OH
National Provider Identifier
1457913022
Registry record updated Jul 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
E.2303676 Issued in OH
Practice address
665 E Dublin Granville Rd Ste 420
Columbus, OH 43229-3245
Phone
(614) 396-7056
NPI assigned
Jul 3, 2019
Last updated
Jul 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X E.2303676 OH Primary

Addresses

Primary practice location

665 E Dublin Granville Rd Ste 420
Columbus, OH 43229-3245

Mailing address

665 E Dublin Granville Rd Ste 420
Columbus, OH 43229-3245
Phone (614) 396-7056

Other practice location 1

1421 Hamlet St
Columbus, OH 43201-2533
Phone (614) 294-8097

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241018001280 OH Practitioner - Mental Health Counselor 1052843794 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Inspiring Purpose Counseling Group LLC Mental Health CurrentSince Sep 24, 2023 Accepting new patients
Psychological & Behavioral Consultants, LLC Mental Health CurrentSince Jul 25, 2024 Accepting new patients
Huckleberry House, Inc. Past Accepting new patients

Locations

4800 N Scottsdale Rd
Ste 2500
Scottsdale, AZ 85251
Phone (253) 346-0392

150 Taylor Station Rd
Ste 310
Columbus, OH 43213
Phone (614) 986-2790

2 Easton Oval
Ste 115
Columbus, OH 43219
Phone (614) 934-6890

665 E Dublin Granville Rd
Ste 420
Columbus, OH 43229
Phone (614) 396-7056

25111 Country Club Blvd
Ste 290
North Olmsted, OH 44070
Phone (440) 614-2520

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1562112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784764800000",
    "number": "1457913022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 E DUBLIN GRANVILLE RD STE 420",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432293245",
            "telephone_number": "614-396-7056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 E DUBLIN GRANVILLE RD STE 420",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432293245",
            "telephone_number": "614-396-7056"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1421 Hamlet St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432012533",
            "country_code": "US",
            "telephone_number": "614-294-8097",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "MARISSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-03",
        "last_updated": "2026-07-23",
        "certification_date": "2026-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E.2303676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.