Individual provider Active NPI

Marissa Partee, CDAC

  • Addiction (Substance Use Disorder) Counselor
  • Beaumont, CA
National Provider Identifier
1487365573
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CI41750224 Issued in CA
Practice address
14700 Manzanita Park Rd
Beaumont, CA 92223
Phone
(800) 665-5437
NPI assigned
Dec 8, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Community Health Worker 172V00000X
Health Educator 174H00000X
Addiction (Substance Use Disorder) Counselor 101YA0400X CI41750224 CA Primary

Addresses

Primary practice location

14700 Manzanita Park Rd
Beaumont, CA 92223

Mailing address

2034 W Williams St
Banning, CA 92220-4021
Phone (909) 801-9066

Other practice location 1

14320 Palm Dr
Desert Hot Springs, CA 92240-6874
Phone (760) 770-2264

Other practice location 2

1370 S State St Ste A
San Jacinto, CA 92583-4922
Phone (951) 791-3350

Other practice location 3

23119 Cottonwood Ave Ste 100
Moreno Valley, CA 92553-9661
Phone (951) 791-3974

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
CI41750224CAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
County of Riverside PastSince Feb 1, 2023 Accepting new patients

Organizations & group practices 1

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": "1670457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1487365573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2034 W WILLIAMS ST",
            "city": "BANNING",
            "state": "CA",
            "postal_code": "922204021",
            "telephone_number": "909-801-9066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14700 MANZANITA PARK RD",
            "city": "BEAUMONT",
            "state": "CA",
            "postal_code": "92223",
            "telephone_number": "800-665-5437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14320 Palm Dr",
            "address_purpose": "LOCATION",
            "city": "Desert Hot Springs",
            "state": "CA",
            "postal_code": "922406874",
            "country_code": "US",
            "telephone_number": "760-770-2264",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1370 S State St Ste A",
            "address_purpose": "LOCATION",
            "city": "San Jacinto",
            "state": "CA",
            "postal_code": "925834922",
            "country_code": "US",
            "telephone_number": "951-791-3350",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23119 Cottonwood Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Moreno Valley",
            "state": "CA",
            "postal_code": "925539661",
            "country_code": "US",
            "telephone_number": "951-791-3974",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARTEE",
        "first_name": "MARISSA",
        "credential": "CDAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-08",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "CI41750224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.

Verify at the official NPI Registry.