MARISSA RAE ABBOTT LPC NPI 1780163436

NPI Information

  • NPI: 1780163436
  • Provider Name: MARISSA RAE ABBOTT, LPC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1905 STADIUM BLVD
    JEFFERSON CITY, MO
    ZIP 65109
  • Phone: (888) 403-1071

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NPI Details

Marissa Rae Abbott, LPC is a professional counselor in Jefferson City, MO. Marissa Rae Abbott, LPC NPI is 1780163436. 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:

1905 STADIUM BLVD
JEFFERSON CITY, MO
ZIP 65109-961
Phone: (888) 403-1071

The NPI 1780163436 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 8/13/2018 and was last updated on 6/11/2020.

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
1101YP2500XCounselorProfessional2013026604MISSOURIYes

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: 3/30/2025

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