Individual provider Active NPI

Marissa Salvitti, LCMHCA

  • Mental Health Counselor
  • Greensboro, NC
National Provider Identifier
1780497230
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A21029 Issued in NC
Practice address
3723 W Market St Ste C
Greensboro, NC 27403-1375
Phone
(336) 908-3927
Fax
(336) 860-1648
NPI assigned
Jan 29, 2025
Last updated
Jan 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A21029 NC Primary

Addresses

Primary practice location

3723 W Market St Ste C
Greensboro, NC 27403-1375

Mailing address

361 Bent Creek TRL
Kernersville, NC 27284-8393
Phone (336) 682-4747

Other practice location 1

227 W Morehead St Ste 230
Reidsville, NC 27320-3872
Phone (336) 908-3927

Other identifiers 1

IdentifierTypeStateIssuer
952432961LMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
A21029NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Irenic Therapy PLLC CurrentSince Sep 15, 2019 Accepting new patients

Locations

3723 W Market St
Ste C
Greensboro, NC 27403
Phone (336) 430-6706

227 W Morehead St
Ste 230
Reidsville, NC 27320
Phone (336) 908-3927

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1738108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1780497230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 BENT CREEK TRL",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272848393",
            "telephone_number": "336-682-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3723 W MARKET ST STE C",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274031375",
            "telephone_number": "336-908-3927",
            "fax_number": "336-860-1648"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "227 W Morehead St Ste 230",
            "address_purpose": "LOCATION",
            "city": "Reidsville",
            "state": "NC",
            "postal_code": "273203872",
            "country_code": "US",
            "telephone_number": "336-908-3927",
            "fax_number": "336-860-1648",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALVITTI",
        "first_name": "MARISSA",
        "credential": "LCMHCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-29",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A21029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "952432961L",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; 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.