Marisa Anderson, LMHC
Individual provider Active NPI Mental Health Counselor · Watertown, MA
NPI 1669653531 · NPPES record last updated Aug 14, 2013
Key facts
- NPI
- 1669653531
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 917 Belmont St
Watertown, MA 02472-1067 - Phone
- (617) 993-5100
- NPI assigned
- Nov 20, 2007
- 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
917 Belmont St
Watertown, MA 02472-1067
Mailing address
917 Belmont St
Watertown, MA 02472-1067
Other providers in Watertown, MA
- Abubaker Alwahab
- Jairo Matthew Amarillo
- Matthew E Amato
- American Dental of Watertown
- American Way Transportation
- Taylor Anderson
- Andrew Lau DDS PLLC
- Laura Andrews
- Ap Dental Watertown PLLC
- Diandra Apoyan
All providers in Watertown, MA · Mental Health Counselor in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 14, 2013. 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.