Marissa Devon Harper

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C8906 Issued in OR

Practice address

7555 SW Hermoso Way Ste 120
Tigard, OR 97223-8684

Phone

(503) 345-3260

Fax

(503) 345-3052

NPI assigned

Jul 27, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jul 31, 2025 through Jul 31, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Psychology & Wellness Group PDX LLC

  • Professional Counselor
  • Tigard, OR
  • NPI 1306315965
  NPD

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

{
    "created_epoch": "1658880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1972239432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7555 SW HERMOSO WAY STE 120",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238684",
            "telephone_number": "503-345-3260",
            "fax_number": "503-345-3052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7555 SW HERMOSO WAY STE 120",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972238684",
            "telephone_number": "503-345-3260",
            "fax_number": "503-345-3052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARPER",
        "first_name": "MARISSA",
        "middle_name": "DEVON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-27",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C8906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICAID NUMBER",
            "identifier": "500785920",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.sprucehealth.com",
            "affiliation": "N",
            "address_1": "5200 Meadows Rd Ste 200",
            "city": "Lake Oswego",
            "state": "OR",
            "country_code": "US",
            "postal_code": "970350086",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Matthew Harhai
• Brooke Morris Harkness, O.D.
• Andrew John Harms, CSWA
• Stephanie Harold
• Michael Harry Harpel Sr.
• Meghan Elisabeth Harrell
• Christale Shalonda Harris-Agubata-Okpara, PWS
• Bridgette Harris
• Jarontay Lamonte Harris
• Kecia Harris, ARNP

• Professional Counselor in Tigard, OR
• Providers in Tigard, OR by specialty
• Professional Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.