Active NPI
Marissa Skipper Therapy, LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Aberdeen, NC
National Provider Identifier
1790652170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- MARISSA SKIPPER THERAPY, LLC
- Practice address
- 102 W Main St Ste 206
Aberdeen, NC 28315-2762 - Phone
- (910) 421-3504
- NPI assigned
- Oct 21, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Marissa Skipper, LCSW
- Title
- Owner
- Phone
- (863) 521-6628
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
102 W Main St Ste 206
Aberdeen, NC 28315-2762
Mailing address
102 W Main St Ste 206
Aberdeen, NC 28315-2762
Phone (910) 421-3504
National Provider Directory
National Provider DirectoryLocations
102 W Main St
Ste 206
Aberdeen, NC 28315
Phone (910) 421-3504
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Hill Afb, UT
- NPI 1235726068
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1761004800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761004800000",
"number": "1790652170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 W MAIN ST STE 206",
"city": "ABERDEEN",
"state": "NC",
"postal_code": "283152762",
"telephone_number": "910-421-3504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 W MAIN ST STE 206",
"city": "ABERDEEN",
"state": "NC",
"postal_code": "283152762",
"telephone_number": "910-421-3504"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARISSA SKIPPER THERAPY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-21",
"last_updated": "2025-10-21",
"certification_date": "2025-10-21",
"status": "A",
"authorized_official_last_name": "SKIPPER",
"authorized_official_first_name": "MARISSA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "863-521-6628",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aberdeen, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.