MARISSA MOORE LPCC NPI 1073027678

NPI Information

NPI: 1073027678
Provider Name: MARISSA MOORE, LPCC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

PECOS Registration: Yes

Address:
1925 HAYES AVE
SANDUSKY, OH
ZIP 44870
Phone: (419) 557-5177
Get Directions

Marissa Moore, LPCC is a professional counselor in Sandusky, OH. Marissa Moore, LPCC NPI is 1073027678. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1925 HAYES AVE
SANDUSKY, OH
ZIP 44870
Phone: (419) 557-5177

The NPI 1073027678 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 11/20/2017 and was last updated on 12/14/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor		C.1700197	OHIO	No
2	171M00000X	Case Manager/Care Coordinator		CDCA.150752	OHIO	No
3	101YP2500X	Counselor	Professional	E.2001980	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	3293725	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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