Individual provider Active NPI

Marissa Mackey, LMFT

  • Marriage & Family Therapist
  • Salem, OR
National Provider Identifier
1821560889
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
2555 Silverton Rd NE
Salem, OR 97301-0837
Phone
(503) 953-0310
Fax
(541) 527-4347
NPI assigned
Dec 31, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X CG60937839 WA
Case Manager/Care Coordinator 171M00000X
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

2555 Silverton Rd NE
Salem, OR 97301-0837

Mailing address

7515 Falcon Crest Dr # 200
Redmond, OR 97756-5014
Phone (541) 904-5216

Other practice location 1

325 E Pioneer
Puyallup, WA 98372-3265
Phone (253) 697-8400

Other practice location 2

2400 NE 95th St
Seattle, WA 98115-2426
Phone (206) 525-5050

Other identifiers 1

IdentifierTypeStateIssuer
171M00000XMedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240116003669 WA Practitioner - Marriage and Family Therapist 8628420528 Reassigns benefits to 1 organization
I20240812003859 OR Practitioner - Marriage and Family Therapist 8628420528 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Brightways Counseling Group LLCGroup PAC ID 4688907827, 36 clinicians

Practice addresses (Care Compare)

7515 Falcon Crest Dr
Suite 200
Redmond, OR 97756-5014
Phone (541) 904-5216

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CG60937839WAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bright Horizons Psychiatric Group LLC CurrentSince Apr 20, 2025 Accepting new patients
Brightways Counseling Group LLC CurrentSince Jul 23, 2024 Accepting new patients
Multicare Health System CurrentSince Jan 1, 2024 Accepting new patients
Multicare Health System CurrentSince Jan 1, 2024 Accepting new patients
Multicare Health System Current Accepting new patients

Locations

7515 Falcon Crest Dr
#200
Redmond, OR 97756

7515 Falcon Crest Dr
Ste 200
Redmond, OR 97756
Phone (541) 693-4669

2555 Silverton Rd NE
Salem, OR 97301
Phone (503) 393-4273

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

222 State Ave N
Kent, WA 98030
Phone (253) 372-7680

200 Lilly Rd NE
Ste C
Olympia, WA 98506
Phone (360) 918-8336

325 E Pioneer
Puyallup, WA 98372
Phone (253) 445-8120

Organizations & group practices 5

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": "1546214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1821560889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7515 FALCON CREST DR # 200",
            "city": "REDMOND",
            "state": "OR",
            "postal_code": "977565014",
            "telephone_number": "541-904-5216",
            "fax_number": "541-527-4347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 SILVERTON RD NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973010837",
            "telephone_number": "503-953-0310",
            "fax_number": "541-527-4347"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "325 E Pioneer",
            "address_purpose": "LOCATION",
            "city": "Puyallup",
            "state": "WA",
            "postal_code": "983723265",
            "country_code": "US",
            "telephone_number": "253-697-8400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2400 NE 95th St",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981152426",
            "country_code": "US",
            "telephone_number": "206-525-5050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACKEY",
        "first_name": "MARISSA",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-31",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WA",
            "license": "CG60937839",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171M00000X",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.