MARISSA RAE ABBOTT


Address: 1905 Stadium Blvd, Jefferson City, MO 65109-1961
Phone: 8884031071

MARISSA RAE ABBOTT (NPI# 1780163436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780163436
Entity Type Individual
Full Name MARISSA RAE ABBOTT
Other Name MARISSA RAE BOND
Credential LPC
Practice Address 1905 Stadium Blvd
Jefferson City
MO 65109-1961
Mailing Address 1800 Community
Clinton
MO 64735-8804
Practice Telephone 8884031071
Mailing Telephone 6608858131
Enumeration Date 2018-08-13
Last Update Date 2020-06-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
2013026604 MO Behavioral Health & Social Service Providers

Office Location

Street Address 1905 STADIUM BLVD
City JEFFERSON CITY
State MO
Zip Code 65109-1961

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164407367 Amy M Blake Social Worker 1905 Stadium Blvd, Jefferson City, MO 65109-1961 2005-12-09
1093329229 Jordan Hargrove Social Worker 1905 Stadium Blvd, Jefferson City, MO 65109-1961 2020-09-04
1073156998 Michele Ernst Christman Counselor 1905 Stadium Blvd, Jefferson City, MO 65109-1961 2019-10-23
1033752209 Chloe Payton Rimer Counselor 1905 Stadium Blvd, Jefferson City, MO 65109-1961 2019-10-21
1922570639 Heather Renee Klemp Social Worker 1905 Stadium Blvd, Jefferson City, MO 65109-1961 2018-12-19
1326526542 Amber Dawn Johnson Social Worker 1905 Stadium Blvd, Jefferson City, MO 65109-1961 2018-07-31
1295213619 Titus Shane Mayberry Counselor 1905 Stadium Blvd, Jefferson City, MO 65109 2018-07-30
1417433731 Danielle Mackenzie Howell Social Worker 1905 Stadium Blvd, Jefferson City, MO 65109-1961 2018-07-19
1063905305 Katelyn Mccoy Social Worker 1905 Stadium Blvd, Jefferson City, MO 65109-1961 2018-06-12
1942793765 Nancy J Chamberlain Social Worker 1905 Stadium Blvd, Jefferson City, MO 65109 2018-06-07
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1518449321 Kara D Roderick Physical Therapist 1115 Fairgrounds Road, Jefferson City, MO 65109 2018-08-29
1851871214 Integrative Medicine, LLC Internal Medicine 999 Diamond Rdg Ste 201, Jefferson City, MO 65109 2018-08-15
1972020394 Rehab Care Group East, LLC Clinic/Center Primrose Retirement Community Jefferson City, 1214 Freedom Boulevard, Jefferson City, MO 65109 2017-08-25
1124558986 Nicholas Rehagen Specialist/Technologist 304 Timber Creek Rd, Jefferson City, MO 65109 2017-06-14
1982004214 Kara Elizabeth Wilbers Occupational Therapist 1105 Fairgrounds Rd, Jefferson City, MO 65109 2014-08-22
1942510334 Loftin Eyecare, LLC Optometrist 724 West Stadium Boulevard, # 029 Walmart Vision Center, Jefferson City, MO 65109 2010-10-19
1306077250 Paula Hancock Johnson Social Worker 1303 Edgewood Dr Ste 5, Jefferson City, MO 65109 2009-07-27
1679701296 Capital Region Medical Center Family Medicine 3308 W Edgewood, Suite B, Jefferson City, MO 65109 2009-06-23
1972730141 Nancy S Stork Counselor 204 Metro, Suite B, Jefferson City, MO 65109 2009-06-16
1356522916 Walk Easy LLC Durable Medical Equipment & Medical Supplies 4810 Rainbow Dr., Jefferson City, MO 65109 2007-11-23
Find all providers in zip 65109

Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093170219 Marissa R Abbott Counselor 919 Wildwood Dr, Suite 104, Jefferson City, MO 65109-5798 2015-12-15
1043647605 Gail R Black Counselor 2202 Marilyn Dr, Jefferson City, MO 65109-0929 2013-09-27
1649617556 Carl Adams Adams Counselor 1803 Sun Valley Dr, Suite B, Jefferson City, MO 65109-2178 2013-05-31
1891048799 James Marion Smith Counselor 936 Sardonyx Dr, Jefferson City, MO 65109-6852 2012-10-17
1154602266 Roger Dale Whittler Counselor 312 W Dunklin St, Jefferson City, MO 65101-1617 2011-09-01
1851679823 Alexa Lynn Thompson Counselor 1409 Rehagen Blvd, Jefferson City, MO 65101-3736 2011-07-25
1275821860 Sandra Mcdonald Counselor 1110 Missouri Blvd, Jefferson City, MO 65109-1722 2011-07-15
1053569004 Maria C. Stokes Counselor 1110 Peyton Dr, Jefferson City, MO 65101-3769 2008-09-03
1881894392 Donna Marie Adams Counselor 1026 Northeast Dr Ste B, Jefferson City, MO 65109-2517 2007-07-23
1356471734 Elizabeth L Strolberg Page Counselor 415 E Mccarty St, Jefferson City, MO 65101 2007-03-06
Find all providers in JEFFERSON CITY

Competitor

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City JEFFERSON CITY
Zip Code 65109

Improve Information

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Dataset Information

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.

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