Marissa Elizabeth Sherman, M.S., CMHC, PCI

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

8173984-6004 Issued in UT

Practice address

9140 S State St
Suite 202
Sandy, UT 84070-2684

Phone

(408) 375-3311

Fax

(866) 540-1490

NPI assigned

Apr 27, 2012

Sex

Female

Sole proprietor

Yes

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.

• Calming Mind Counseling PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sandy, UT
  • NPI 1235843509

  Mental Health

  NPD Authorized official
• Advanced Awareness Counseling, LLC.

  • Mental Health Counselor
  • Provo, UT
  • NPI 1184009508

  Mental Health

  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

• Mrs. Marissa Elizabeth Macias Bird Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 25, 2016.

{
    "created_epoch": "1335484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461542400000",
    "number": "1568720472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4125 N CANYON RD",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846045015",
            "telephone_number": "408-375-3311",
            "fax_number": "866-540-1490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9140 S STATE ST",
            "address_2": "SUITE 202",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840702684",
            "telephone_number": "408-375-3311",
            "fax_number": "866-540-1490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERMAN",
        "first_name": "MARISSA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "M.S., CMHC, PCI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-27",
        "last_updated": "2016-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "8173984-6004",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "UT",
            "license": "8173984-6004",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "UT",
            "license": "8173984-6004",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "UT",
            "license": "8173984-6004",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1770721300",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARISSA",
            "last_name": "MACIAS BIRD",
            "middle_name": "ELIZABETH",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• William Bradley Shaw, DC
• Jeffrey Clark Sheffield, PH.D.
• Steven Shelton, DPM
• Amanda Shepard
• Kevin Craig Sherman, L.C.S.W.
• Stephanie Shew, DPT
• Parker Shiffler, DDS, MD
• George A Shirley
• Shopko Stores Operating Co LLC
• Shopko Stores Operating Co. LLC

• All providers in Sandy, UT
• Mental Health Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2016; 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.