Individual provider Active NPI

Marisa Dodge

  • Counselor
  • Topeka, KS
National Provider Identifier
1942069885
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
04898 Issued in KS
Practice address
2121 SW Chelsea Dr
Topeka, KS 66614-1756
Phone
(785) 291-9644
NPI assigned
Mar 14, 2024
Last updated
Sep 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 04898 KS Primary

Addresses

Primary practice location

2121 SW Chelsea Dr
Topeka, KS 66614-1756

Mailing address

2121 SW Chelsea Dr
Topeka, KS 66614-1756
Phone (785) 291-9644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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 1

Enrollment IDStateProvider typePAC IDDetails
I20250603000822 KS Practitioner - Mental Health Counselor 3476062399 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wyandot Center for Community Behavioral Healthcare, Inc. CurrentSince Feb 27, 2025 Accepting new patients

Locations

1301 N 47th St
Kansas City, KS 66102
Phone (913) 287-0007

757 Armstrong Ave
Kansas City, KS 66101

7840 Washington Ave
Kansas City, KS 66112
Phone (913) 328-4600

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": "1710374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789344000000",
    "number": "1942069885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 SW CHELSEA DR",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666141756",
            "telephone_number": "785-291-9644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 SW CHELSEA DR",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666141756",
            "telephone_number": "785-291-9644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODGE",
        "first_name": "MARISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-14",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "KS",
            "license": "04898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

Verify at the official NPI Registry.