Marissa Smith, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

4400 Issued in MN

Practice address

4820 77TH St W Ste 130
Edina, MN 55435-4832

Phone

(612) 460-0090

NPI assigned

Apr 5, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Nystrom & Associates, LTD

  • Clinical Social Worker
  • New Brighton, MN
  • NPI 1396750188

  Marriage & Family Therapist

  NPD (past)
• Twin Cities Therapy and Counseling Associates, PLLC

  • Counselor
  • Golden Valley, MN
  • NPI 1518228378

  Marriage & Family Therapist

  NPD (past)

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

{
    "created_epoch": "1712275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1811749450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4820 77TH ST W STE 130",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4820 77TH ST W STE 130",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354832",
            "telephone_number": "612-460-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MARISSA",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-05",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "4400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Smith, PT, ATC
• David O. Smith, M.D.
• June Ellen Smith, NP
• Katie Jo Smith, DPT
• Kim Hill Smith, MSW LICSW
• Michael D Smith, M.D.
• Rachel Smith
• Susan SM Smith, NURSE PRACTITIONER
• Patrick Hunter Smock, MD
• Abigail Christine Sneed, LADC

• Marriage & Family Therapist in Edina, MN
• Providers in Edina, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.