Individual provider Active NPI

Marissa Defeo, M.A.

  • Marriage & Family Therapist
  • Bend, OR
National Provider Identifier
1831527217
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
T2124 Issued in OR
Practice address
354 NE Greenwood Ave Ste 204
Bend, OR 97701-4632
Phone
(541) 699-1083
NPI assigned
Oct 23, 2013
Last updated
May 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 100177 CA
Marriage & Family Therapist 106H00000X T2124 OR Primary

Addresses

Primary practice location

354 NE Greenwood Ave Ste 204
Bend, OR 97701-4632

Mailing address

354 NE Greenwood Ave Ste 204
Bend, OR 97701-4632
Phone (541) 699-1083

Other practice location 1

27111 Aliso Creek Rd Ste 170
Aliso Viejo, CA 92656-5351
Phone (949) 791-9384

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
100177CAMDMarriage & Family Therapist
T2124ORMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elements Counseling, Wellness, and Training Institute, LLC Marriage & Family Therapist CurrentSince Jun 3, 2025 Accepting new patients

Locations

354 NE Greenwood Ave
Ste 204
Bend, OR 97701
Phone (541) 224-6544

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": "1382486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1831527217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "354 NE GREENWOOD AVE STE 204",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014632",
            "telephone_number": "541-699-1083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "354 NE GREENWOOD AVE STE 204",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977014632",
            "telephone_number": "541-699-1083"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27111 Aliso Creek Rd Ste 170",
            "address_purpose": "LOCATION",
            "city": "Aliso Viejo",
            "state": "CA",
            "postal_code": "926565351",
            "country_code": "US",
            "telephone_number": "949-791-9384",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEFEO",
        "first_name": "MARISSA",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-23",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "100177",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "T2124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bend, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.