Marisa Murray, LCPC
Individual provider Active NPI Professional Counselor · Americus, KS
NPI 1720587397 · NPPES record last updated Apr 22, 2025
Key facts
- NPI
- 1720587397
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 03532 (KS)
- Practice address
- 779 Road 260
Americus, KS 66835-9507 - Phone
- (620) 794-9891
- NPI assigned
- Feb 8, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250519000526 | KS | Practitioner - Mental Health Counselor | 0345768875 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health Specialty Group KS, P.a. | Current |
Accepting new patients |
Locations
801 E Douglas Ave
Fl 2
Wichita, KS 67202
Phone (316) 330-5353
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | |||
| Professional Counselor | 101YP2500X | 03532 | KS | Yes |
Addresses
Primary practice location
779 Road 260
Americus, KS 66835-9507
Mailing address
779 Road 260
Americus, KS 66835-9507
Phone (620) 794-9891
Other providers in Americus, KS
All providers in Americus, KS · Professional Counselor in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 22, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.