Counseling With Marissa, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

COUNSELING WITH MARISSA, LLC

Practice address

111 Main St # 2Wa
Collinsville, CT 06019-3182

Phone

(860) 412-4638

NPI assigned

Sep 16, 2024

Last updated

Sep 16, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marissa Marra, LPCNPI 1871125526

Title

Clinician

Phone

(860) 412-4638

Specialties & licenses 1

Addresses

Other names 1

• Counseling With Marissa, LLC Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marissa Victoria Marra, LPC

  • Mental Health Counselor
  • Collinsville, CT
  • NPI 1871125526
  NPD Authorized official

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

{
    "created_epoch": "1726444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726444800000",
    "number": "1831926708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 DOWD AVE",
            "city": "CANTON",
            "state": "CT",
            "postal_code": "060192480",
            "telephone_number": "860-990-2942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 MAIN ST # 2WA",
            "city": "COLLINSVILLE",
            "state": "CT",
            "postal_code": "060193182",
            "telephone_number": "860-412-4638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING WITH MARISSA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-16",
        "last_updated": "2024-09-16",
        "certification_date": "2024-09-16",
        "status": "A",
        "authorized_official_last_name": "MARRA",
        "authorized_official_first_name": "MARISSA",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "860-412-4638",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Counseling With Marissa, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Mental Health Counselor in Collinsville, CT
• Providers in Collinsville, CT by specialty
• Mental Health Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2024; 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.