Marissa Bellanger, MS LP-SLP, CF-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

8872 Issued in LA

Practice address

10086 Old BR Apt a
Hammond, LA 70403

Phone

(985) 696-3624

NPI assigned

Aug 26, 2021

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 identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Livingston Parish School System

  • Student Health Clinic/Center
  • Livingston, LA
  • NPI 1194937631
  NPD (past)
• Livingston Parish School System

  • Student Health Clinic/Center
  • Livingston, LA
  • NPI 1790999647
  NPD (past)

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

{
    "created_epoch": "1629936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1598432619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10086 OLD BR APT A",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "70403",
            "telephone_number": "985-696-3624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10086 OLD BR APT A",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "70403",
            "telephone_number": "985-696-3624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLANGER",
        "first_name": "MARISSA",
        "credential": "MS LP-SLP, CF-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-26",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "LA",
            "license": "8872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LBESPA",
            "identifier": "8872",
            "state": "LA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MARISSA.BELLANGER@LPSB.ORG",
            "affiliation": "N",
            "endpointDescription": "SCHOOL",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "13909 Florida Blvd",
            "city": "Livingston",
            "state": "LA",
            "country_code": "US",
            "postal_code": "707546340",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Joshua Don Beaver, D.D.S.
• Taylor Gantt Bech, P.A.
• Wendy Beck
• Debra G Belanger, LCSW-BACS
• Tawanda Bell
• Belle Maison Holdings LLC
• Belle Maison Nursing & Rehabilitation Center LLC
• Antreon Bennett
• Jessica Bennett, LOTR
• Lisa Lynn Bennett

• Speech-Language Pathologist in Hammond, LA
• Providers in Hammond, LA by specialty
• Speech-Language Pathologist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; 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.