Marissa Bade
Individual provider Active NPI Professional Counselor · Basehor, KS
NPI 1508667569 · NPPES record last updated Mar 24, 2025
Key facts
- NPI
- 1508667569
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 04944 (KS)
- Practice address
- 3705 N 153Rd St
Basehor, KS 66007-9258 - Phone
- (308) 262-5891
- NPI assigned
- Mar 24, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04944 | KS | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 04944 | KS | Yes |
Addresses
Primary practice location
3705 N 153Rd St
Basehor, KS 66007-9258
Mailing address
3705 N 153Rd St
Basehor, KS 66007-9258
Other providers in Basehor, KS
- Yulieth Michelle Armstrong
- Stacy Ash
- Assisted Independence
- Marsha Avery
- Cynthia Aylor
- Hope Baeza
- Madalene Bailey
- Deshay Baird
- Katelyn Baker
- Michelle Balcacer
All providers in Basehor, KS · Professional Counselor in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.