Marisa Lynn Bullen

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1212 Lake Ave
Ashtabula, OH 44004-2932

Phone

(330) 539-5200

NPI assigned

May 4, 2026

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Marisa Lynn Knox Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/openwatercounseling/r4/

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.

• Open Water Counseling and Recovery, LLC

  • Community/Behavioral Health Agency
  • Warren, OH
  • NPI 1447877147
  NPD (past)
• Open Water Counseling and Recovery, LLC

  • Mental Health Counselor
  • Warren, OH
  • NPI 1932747888
  NPD (past)

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

{
    "created_epoch": "1777852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1568309854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1716 NORTH RD SE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444842907",
            "telephone_number": "330-539-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 LAKE AVE",
            "city": "ASHTABULA",
            "state": "OH",
            "postal_code": "440042932",
            "telephone_number": "330-539-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BULLEN",
        "first_name": "MARISA",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-05-04",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARISA",
            "last_name": "KNOX",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Karen Bruckman
• Dianna Bryant
• Diana Bucher, APRN-CNP
• Buckeye Local School District
• Loretta Buell, PCC
• Kayla Renee Bullock
• Jennifer A. Bunnell, P.T.
• Stacey Lee Bunnell, RN
• Robyn Elizabeth Burdick
• Jessica Marie Burgos Bland

• Case Manager/Care Coordinator in Ashtabula, OH
• Providers in Ashtabula, OH by specialty
• Case Manager/Care Coordinator in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; 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.