MARISA MARTIN (NPI# 1992354963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992354963 |
| Entity Type | Individual |
| Full Name | MARISA MARTIN |
| Practice Address |
420 Ne 5th St Mcminnville OR 97128-4603 |
| Practice Telephone | 5034347462 |
| Mailing Telephone | 5034347462 |
| Enumeration Date | 2019-09-11 |
| Last Update Date | 2019-09-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205397932 | Marisa Martin | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive, Suite 4001, Ypsilanti, MI 48197-8633 | 2019-03-26 |
| Street Address |
420 NE 5TH ST |
| City | MCMINNVILLE |
| State | OR |
| Zip Code | 97128-4603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780713818 | Barbara Smith | Marriage & Family Therapist | 420 Ne 5th St, Mcminnville, OR 97128-4603 | 2007-03-05 |
| 1033724604 | Jessica Sandoval | Counselor | 420 Ne 5th St, Mcminnville, OR 97128-4603 | 2020-09-10 |
| 1043820871 | Jennifer Bennett-fey | Counselor | 420 Ne 5th St, Mcminnville, OR 97128-4603 | 2020-08-06 |
| 1386264745 | Bobbi J Krogh | Counselor | 420 Ne 5th St, Mcminnville, OR 97128-4603 | 2020-04-25 |
| 1548880271 | Nicole Kristine Wiegand | Counselor | 420 Ne 5th St, Mcminnville, OR 97128-4603 | 2020-04-22 |
| 1982224960 | Katherine Fitch | Counselor | 420 Ne 5th St, Mcminnville, OR 97128-4603 | 2020-04-20 |
| 1023669496 | Airka Ashley Ramirez | Counselor | 420 Ne 5th St, Mcminnville, OR 97128-4603 | 2019-09-26 |
| 1356804355 | Janelle Stuvland | Counselor | 420 Ne 5th St, Mcminnville, OR 97128-4603 | 2019-04-08 |
| 1083171037 | Mackenzie Ann Doyle | Counselor | 420 Ne 5th St, Mcminnville, OR 97128-4603 | 2019-02-26 |
| 1972086718 | Gloria Valdivia | Peer Specialist | 420 Ne 5th St, Mcminnville, OR 97128-4603 | 2018-09-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518565035 | Bkd Hillside Opco, LLC | Skilled Nursing Facility | 440 Nw Hillside Park Way, Mcminnville, OR 97128 | 2020-10-16 |
| 1811502636 | Sean Peter Christian Cavaghan | Counselor | 1900 Ne Hwy 99, Suite K, Mcminnville, OR 97128 | 2020-09-09 |
| 1386269637 | Tending The Vineyard | Clinic/Center | 127 Nw Highway 99w, Mcminnville, OR 97128 | 2020-06-12 |
| 1619441094 | Kami Naber | Counselor | 672 Ne Evans St, Mcminnville, OR 97128 | 2019-01-18 |
| 1720552102 | Lauren Nicole Abshire | Counselor | 672 Ne Evans Street, Mcminnville, OR 97128 | 2019-01-18 |
| 1366933376 | Maria G Guerrero | Specialist | 325 Nw Fenton St, Mcminnville, OR 97128 | 2018-05-24 |
| 1235628819 | Julie Luedtke | Health Educator | 300 Sw Hill Road South, Mcminnville, OR 97128 | 2018-05-09 |
| 1356838817 | Jacqueline Ann Hausman | Massage Therapist | 119 Ne 3rd St., Mcminnville, OR 97128 | 2018-04-19 |
| 1366960007 | Alexis R Burke | Counselor | 625 Ne Galloway, Mcminnville, OR 97128 | 2017-09-01 |
| 1871018705 | Amanda Rose Bunch | Counselor | 418 Se Holly Way, Mcminnville, OR 97128 | 2017-08-11 |
| Find all providers in zip 97128 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306462734 | Paula Borges Fontenelle | Counselor | 609 Ne Baker St Ste 280, Mcminnville, OR 97128-4958 | 2020-06-22 |
| 1689204620 | Mariah Wuellner | Counselor | 325 Sw Elmwood Ave, Mcminnville, OR 97128-5913 | 2020-01-17 |
| 1619441094 | Kami Naber | Counselor | 672 Ne Evans St, Mcminnville, OR 97128 | 2019-01-18 |
| 1720552102 | Lauren Nicole Abshire | Counselor | 672 Ne Evans Street, Mcminnville, OR 97128 | 2019-01-18 |
| 1548736184 | Courtney Greif | Counselor | 1275 Nw Adams St Ste C, Mcminnville, OR 97128-3549 | 2018-10-22 |
| 1366960007 | Alexis R Burke | Counselor | 625 Ne Galloway, Mcminnville, OR 97128 | 2017-09-01 |
| 1871018705 | Amanda Rose Bunch | Counselor | 418 Se Holly Way, Mcminnville, OR 97128 | 2017-08-11 |
| 1174060701 | Denise Bella Fellows | Counselor | 932 Ne 18th St, Mcminnville, OR 97128-3106 | 2017-01-20 |
| 1841671369 | Emanuel Recinos | Counselor | 490 Ne 5th St, Mcminnville, OR 97128 | 2015-06-10 |
| 1851781298 | Molly Winterrowd | Counselor | 672 Ne Evans St., Mcminnville, OR 97224 | 2015-01-23 |
| Find all providers in MCMINNVILLE | ||||
| City | MCMINNVILLE |
| Zip Code | 97128 |
Please comment or provide details below to improve the information on MARISA MARTIN.
| 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.