Marisa Leigh Faneuff, MSW/LMHC

Primary specialty

School CounselorTaxonomy code 101YS0200X

License

541076 Issued in MA

Practice address

314 Pendleton Ave
Chicopee, MA 01020-2135

Phone

(413) 594-3527

NPI assigned

May 20, 2024

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

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": "1716163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1750120994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 RED GAP RD",
            "city": "WILBRAHAM",
            "state": "MA",
            "postal_code": "010952357",
            "telephone_number": "413-654-7151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 PENDLETON AVE",
            "city": "CHICOPEE",
            "state": "MA",
            "postal_code": "010202135",
            "telephone_number": "413-594-3527"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18 Red Gap Rd",
            "address_purpose": "LOCATION",
            "city": "Wilbraham",
            "state": "MA",
            "postal_code": "010952357",
            "country_code": "US",
            "telephone_number": "413-654-7151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FANEUFF",
        "first_name": "MARISA",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "MSW/LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "MA",
            "license": "541076",
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "MA",
            "license": "541076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula M Eveleigh, ARNP
• Laura Helen Ewing, RPH
• Theresa M Fairley
• Fairview Dental Associates LLC
• Fairview Pediatrics
• Madeline Farias, BCBA, LABA
• Jayne Farrell
• Angela Faulkner, RN
• Sarah Ruth Felsentreger
• Samara Lynn Ferreira

• School Counselor in Chicopee, MA
• Providers in Chicopee, MA by specialty
• School Counselor in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.