Individual provider Active NPI

Marissa S Massimini, LMFT

  • Marriage & Family Therapist
  • Encinitas, CA
National Provider Identifier
1912608183
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
148579 Issued in CA
Practice address
191 Calle Magdalena Ste 290
Encinitas, CA 92024-3666
Phone
(760) 640-0270
NPI assigned
Mar 15, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 148579 CA Primary

Addresses

Primary practice location

191 Calle Magdalena Ste 290
Encinitas, CA 92024-3666

Mailing address

PO Box 4576
Oceanside, CA 92052-4576

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

State licenses

LicenseStateTypeSpecialty
148579CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Couples Therapy, a Family Therapy Professional Corporation Marriage & Family Therapist CurrentSince Sep 28, 2025 Accepting new patients

Locations

191 Calle Magdalena
Ste 290
Encinitas, CA 92024
Phone (760) 640-0270

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1678838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1912608183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4576",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920524576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 CALLE MAGDALENA STE 290",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920243666",
            "telephone_number": "760-640-0270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSIMINI",
        "first_name": "MARISSA",
        "middle_name": "S",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-15",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "148579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.