MARISSA JENAI WELLS (NPI# 1265861819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265861819 |
| Entity Type | Individual |
| Full Name | MARISSA JENAI WELLS |
| Credential | M.A. |
| Practice Address |
10720 Carmel Commons Blvd Suite 320 Charlotte NC 28226-3785 |
| Practice Telephone | 7049169192 |
| Mailing Telephone | 7049169192 |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2015-09-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 1696 | NC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366910721 | Marissa Wells | Developmental Therapist | 1220 Laguna St, Kokomo, IN 46902-2330 | 2018-11-05 |
| 1437287463 | Marissa Wells | Counselor | 225 E Main St, Ste 300, Rock Hill, SC 29730-4541 | 2007-03-01 |
| Street Address |
10720 CARMEL COMMONS BLVD SUITE 320 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28226-3785 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073592267 | Patricia Jones Heard | Social Worker | 10720 Carmel Commons Blvd, Suite 330, Charlotte, NC 28226-3785 | 2006-01-16 |
| 1285167403 | Charlene Horgan | Counselor | 10720 Carmel Commons Blvd, Suite 320, Charlotte, NC 28226-3785 | 2017-04-05 |
| 1841655255 | Lrd Holdings | Counselor | 10720 Carmel Commons Blvd, Charlotte, NC 28226-3785 | 2015-12-30 |
| 1861651515 | Joy Braunlich Lcsw Pa | Social Worker | 10720 Carmel Commons Blvd, Suite 330, Charlotte, NC 28226-3785 | 2008-06-07 |
| 1881893568 | Heather Gazjuk Sheppard | Counselor | 10720 Carmel Commons Blvd, Suite 350, Charlotte, NC 28226-3785 | 2007-07-13 |
| 1386762284 | Leslie Slotkin Riggs | Social Worker | 10720 Carmel Commons Blvd, Suite 350, Charlotte, NC 28226-3785 | 2007-03-27 |
| 1578624797 | Kristi Lynn Knox | Counselor | 10720 Carmel Commons Blvd, Suite 330, Charlotte, NC 28226-3785 | 2006-12-12 |
| 1588778690 | Stacey S. Ward | Social Worker | 10720 Carmel Commons Blvd, Suite 320a, Charlotte, NC 28226-3785 | 2006-08-18 |
| 1942219134 | Scott Rodwell Trotter | Counselor | 10720 Carmel Commons Blvd, Suite 330, Charlotte, NC 28226-3785 | 2006-08-05 |
| 1952334161 | Kimberly E. Dupuis | Counselor | 10720 Carmel Commons Blvd, Suite 320, Charlotte, NC 28226-3785 | 2006-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841837507 | Southeast Vulvar Clinic, Pllc | Dermatology | 6406 Carmel Road, Suite 309, Charlotte, NC 28226 | 2019-12-02 |
| 1427540012 | Kenneth William Riley Jr. | Behavioral Analyst | 10953 Park Rd., Charlotte, NC 28226 | 2018-05-31 |
| 1780103838 | Tamara Andres | Specialist/Technologist | 2518 Lawton Bluff Rd., Charlotte, NC 28226 | 2017-09-10 |
| 1083132609 | Xenon Anesthesia of North Carolina Pllc | Anesthesiology | 7006 Shannon Willow Road, Charlotte, NC 28226 | 2017-09-04 |
| 1104354117 | Lauren Nicole Brindisi | Chiropractor | 11230 Carmel Commons Blvd., Charlotte, NC 28226 | 2017-06-03 |
| 1346790821 | Carolinas Skin Center Pa | Plastic Surgery | 3315 Springbank Lane, Suite 202, Charlotte, NC 28226 | 2016-10-10 |
| 1871040469 | Julie R Jackson | Counselor | 7810 Prineville-mathews Road, Charlotte, NC 28226 | 2016-09-01 |
| 1518346105 | Christopher Abernathy | Dentist | 3111 Springbank Ln Ste A, Charlotte, NC 28226 | 2015-05-28 |
| 1285067504 | Amy N Bullock | Physical Therapist | 7207 Marcel Ln Apt 1138, Charlotte, NC 28226 | 2013-08-11 |
| 1528405297 | Elevate Counseling and Clinical Services, Pllc | Community/Behavioral Health | 107220 Carmel Commons Blvd., Ste. 320, Charlotte, NC 28226 | 2013-06-04 |
| Find all providers in zip 28226 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841491 | Emily Brokaw | Marriage & Family Therapist | 10420 Park Rd # 100-b, Charlotte, NC 28210-8501 | 2020-11-05 |
| 1215550074 | Tiffany Guy | Marriage & Family Therapist | 4219 Springhaven Dr, Charlotte, NC 28269-1629 | 2020-05-27 |
| 1013557867 | Sandra May Kamara | Marriage & Family Therapist | 6601 Barrington Dr, Charlotte, NC 28215-3401 | 2020-01-09 |
| 1053958868 | Karen M Quigley | Marriage & Family Therapist | 6000 Fairview Rd Fl 12, Charlotte, NC 28210-2224 | 2019-11-30 |
| 1386288421 | Tiffany De Leon | Marriage & Family Therapist | 13735 Steele Creek Rd, Charlotte, NC 28273-6841 | 2019-11-01 |
| 1841833761 | Sweeneypsych, Pllc | Marriage & Family Therapist | 811 Central Ave Ste 8, Charlotte, NC 28204-2015 | 2019-10-23 |
| 1144871476 | Linda Joann Mullinix | Marriage & Family Therapist | 3835 W W T Harris Blvd, Charlotte, NC 28269-3500 | 2019-09-27 |
| 1497316012 | Shantel Lynette Smythe | Marriage & Family Therapist | 5700 Executive Center Dr Ste 200, Charlotte, NC 28212-8833 | 2019-06-25 |
| 1073174975 | Monica Pena | Marriage & Family Therapist | 3837 Beauvista Dr, Charlotte, NC 28269-1090 | 2019-06-22 |
| 1669944427 | Monique Moreno Aquino | Marriage & Family Therapist | 1118 Skyview Rd, Charlotte, NC 28208-6249 | 2018-12-18 |
| Find all providers in CHARLOTTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.