Individual provider Active NPI

Marissa E Nelson, LPC

  • Professional Counselor
  • Houston, TX
National Provider Identifier
1770280273
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
83683 Issued in TX
Practice address
12340 Jones Road, Ste 290
Houston, TX 77070-2892
Phone
(832) 756-2749
Fax
(832) 201-1151
NPI assigned
Feb 14, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 83683 TX Primary

Addresses

Primary practice location

12340 Jones Road, Ste 290
Houston, TX 77070-2892

Mailing address

13801 Napoli Dr. #9203
Houston, TX 77070
Phone (713) 309-0053

Other identifiers 1

IdentifierTypeStateIssuer
1770280273MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address admin@spencertherapies.com Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Spencer & Associates Therapeutic Alliance, PLLC Professional CurrentSince Jan 1, 2024 Accepting new patients
Spencer and Associates Therapeutic Alliance, PLLC CurrentSince Feb 1, 2023 Accepting new patients

Locations

13715 Office Park Dr
Houston, TX 77070
Phone (832) 756-2749

12340 Jones Rd
Ste 290
Houston, TX 77070
Phone (281) 894-7222

24285 Katy Fwy
Fl 4
Katy, TX 77494
Phone (832) 756-2749

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1676332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736812800000",
    "number": "1770280273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13801 NAPOLI DR. #9203",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77070",
            "telephone_number": "713-309-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12340 JONES ROAD, STE 290",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770702892",
            "telephone_number": "832-756-2749",
            "fax_number": "832-201-1151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "MARISSA",
        "middle_name": "E",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-14",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "83683",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1770280273",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@spencertherapies.com",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "admin@spencertherapies.com",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "12340 Jones Road, Ste 290",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770702892",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.