Organization Active NPI

Marissa Skipper Therapy, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Aberdeen, NC
National Provider Identifier
1790652170
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
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

Updated by the provider on Oct 21, 2025

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

Authorized official

Name
Marissa Skipper, LCSWNPI 1235726068
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.