Marissa Lorynn Cowan, LPCA

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

282797 Issued in KY

Practice address

2536 Danielle LN
Lexington, KY 40509-4151

Phone

(304) 812-7728

NPI assigned

Jan 24, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

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

Specialty

Mental Health Counselor

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Alteri, LLCGroup PAC ID 5698189405, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Alteri, LLC

  • Addiction (Substance Use Disorder) Counselor
  • Lexington, KY
  • NPI 1528566114

  Professional

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1674518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1477269439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2536 DANIELLE LN",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405094151",
            "telephone_number": "304-812-7728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2536 DANIELLE LN",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405094151",
            "telephone_number": "304-812-7728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COWAN",
        "first_name": "MARISSA",
        "middle_name": "LORYNN",
        "credential": "LPCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-24",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "KY",
            "license": "282797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KENTUCKY BOARD OF LICENSED PROFESSIONAL COUNSELORS",
            "identifier": "282797",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Coventry Oak Elementary School
• Andrea Renee Covington, APRN
• Saprina Covington, APRN
• Titus Covington, LCSW
• Wade Covington, CRNA
• Mika Cowan, IBCLC
• David Eugene Cowen, M.D.
• Greg L Cowen, PA-C
• Hannah Cowen
• Katrina Cowen

• Professional Counselor in Lexington, KY
• Providers in Lexington, KY by specialty
• Professional Counselor in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.