Individual provider Active NPI

Marissa Guarino

  • Clinical Psychologist
  • Lexington, SC
National Provider Identifier
1912667957
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1706 Issued in SC
Practice address
203 W Main St Ste G1
Lexington, SC 29072-2672
Phone
(803) 731-6699
NPI assigned
Dec 17, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 1706 SC Primary

Addresses

Primary practice location

203 W Main St Ste G1
Lexington, SC 29072-2672

Mailing address

203 W Main St Ste G1
Lexington, SC 29072-2672
Phone (803) 731-6699

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
1706SCMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Missing Pieces Psychology LCC CurrentSince May 16, 2022 Accepting new patients

Locations

203 W Main St
Ste G1
Lexington, SC 29072
Phone (803) 731-6699

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": "1639699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1912667957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 W MAIN ST STE G1",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290722672",
            "telephone_number": "803-731-6699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 W MAIN ST STE G1",
            "city": "LEXINGTON",
            "state": "SC",
            "postal_code": "290722672",
            "telephone_number": "803-731-6699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUARINO",
        "first_name": "MARISSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-17",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "SC",
            "license": "1706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.