Marlisa Vanhout, LPA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

2005 Issued in NC

Practice address

1907 S 17TH St
Suite 1
Wilmington, NC 28401-6626

Phone

(910) 343-8424

Fax

(910) 343-6989

NPI assigned

Oct 4, 2006

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

Other identifiers 1

Other names 1

• Marlisa Nance Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204848000000",
    "number": "1710072699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1907 S 17TH ST",
            "address_2": "SUITE 1",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284016626",
            "telephone_number": "910-343-8424",
            "fax_number": "910-343-6989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 S 17TH ST",
            "address_2": "SUITE 1",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284016626",
            "telephone_number": "910-343-8424",
            "fax_number": "910-343-6989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANHOUT",
        "first_name": "MARLISA",
        "credential": "LPA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2008-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "2005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6107225",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARLISA",
            "last_name": "NANCE",
            "credential": "LPA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Justin Lee Vandermolen, M.D.
• Calee Vandeveer, CNP
• Kate Vandrew
• Allen H Vandyke Jr., M.D
• Dario A Vanegasbetancur, M.D.
• Abigail Vanluvanee, MS, RDN, LDN
• Abrianna Maychelle Vann, LCSW-A
• Adrian Robert Vannote, DC
• Pamela Suzanne Odom Vannote
• Fred H Vannynatten, MD

• Mental Health Counselor in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2008; 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.