Marisa Whitsett

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

5411 Issued in TN

Practice address

1200 Peabody Ave
Memphis, TN 38104-4506

Phone

(901) 707-6861

NPI assigned

Apr 27, 2021

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1619481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1700468931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 PEABODY AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381044506",
            "telephone_number": "901-707-6861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 PEABODY AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381044506",
            "telephone_number": "901-707-6861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITSETT",
        "first_name": "MARISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-27",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "5411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lyle Manning Whitmore, DDS
• Ellen Whitnack, MD
• Whitney Slade MD, LLC
• Carolyn Whitney, MD
• Steven Thomas Whitney, RPH
• Anne Whitten, CRNA
• Detris Whitten, LMSW
• Eric D Whittington, B.S.
• Lauren Whittington, M.A., CCC-SLP
• John R Whitworth, M.D.

• Professional Counselor in Memphis, TN
• Providers in Memphis, TN by specialty
• Professional Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.