MARISSA JEAN IVANKO NPI 1538088778

NPI Information

  • NPI: 1538088778
  • Provider Name: MARISSA JEAN IVANKO
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 1300 OLD PLANK RD STE 800
    MAYFIELD, PA
    ZIP 18433
  • Phone: (570) 878-3833

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NPI Details

Marissa Jean Ivanko is a mental health counselor in Mayfield, PA. Marissa Jean Ivanko NPI is 1538088778. The provider is registered as an individual entity type and is a multi-specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1300 OLD PLANK RD STE 800
MAYFIELD, PA
ZIP 18433-973
Phone: (570) 878-3833

The enumeration date for this NPI number is 7/13/2026 and was last updated on 7/13/2026.

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
1101YM0800XCounselorMental HealthAPC002586PENNSYLVANIAYes

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: 11/21/2025

NPI Synchronization or Removal

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