Marissa Ann Brown, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180.015496 Issued in IL

Practice address

2000 W Pioneer Pkwy Ste 14
Peoria, IL 61615-1882

Phone

(309) 550-1001

Fax

(309) 322-6470

NPI assigned

Aug 17, 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 names 1

• Marissa Ann Kroll Former name

Medicare fee-for-service enrollment

Enrolled in IL

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, 2020

Medicare assignment

May accept Medicare assignment

Group practices

Lisa Schwab, LLCGroup PAC ID 1850688557, 5 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Lisa Schwab, LLC

  • Professional Counselor
  • Peoria Heights, IL
  • NPI 1194193235
  Medicare reassignment Care Compare group NPD
• Full Circle Counseling and Wellness, LLC

  • Professional Counselor
  • Peoria, IL
  • NPI 1558976209
  NPD

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

{
    "created_epoch": "1692230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1528841012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 W PIONEER PKWY STE 14",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616151882",
            "telephone_number": "309-550-1011",
            "fax_number": "309-322-6470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 W PIONEER PKWY STE 14",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616151882",
            "telephone_number": "309-550-1001",
            "fax_number": "309-322-6470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "MARISSA",
        "middle_name": "ANN",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-17",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180.015496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARISSA",
            "last_name": "KROLL",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kaitlyn Marie Brown, DO
• Kathleen Sue Brown, PTA
• Kayelynn Brown, PA-C
• Kyle Fletcher Brown, M.D.
• Laura R Brown
• Nicole Brown, LCPC
• Nikolas Paul Brown, DDS
• Patrick Keith Brown, PT
• Regina Marie Brown, MD
• Swannita Ann Brown, COTA/L

• Professional Counselor in Peoria, IL
• Providers in Peoria, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2026; 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.