MARISSA WALSH (NPI# 1205370657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205370657 |
| Entity Type | Individual |
| Full Name | MARISSA WALSH |
| Practice Address |
4635 Lawn Ave Suite 8 Western Springs IL 60558-1554 |
| Mailing Address |
4365 Lawn Ave Suite 8 Western Springs IL 60558-1465 |
| Practice Telephone | 7738882602 |
| Enumeration Date | 2016-12-05 |
| Last Update Date | 2016-12-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | IL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386115350 | Marissa Lynn Walsh | Physician Assistant | 430 Pennsylvania Ave, Glen Ellyn, IL 60137-4464 | 2018-12-16 |
| Street Address |
4635 LAWN AVE SUITE 8 |
| City | WESTERN SPRINGS |
| State | IL |
| Zip Code | 60558-1554 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194280941 | Kenneth J. Szafranski, Dds, Ltd Matthew S. Van Beek, Dds | Dentist | 1100 Hillgrove Ave, Suite 1&2, Western Springs, IL 60558 | 2019-02-06 |
| 1942782313 | Tom Schimel | Counselor | 1023 Burlington Avenue, Western Springs, IL 60558 | 2018-09-03 |
| 1760904692 | Megan Sullivan | Social Worker | 1405 Willow Ave., Western Springs, IL 60558 | 2017-07-12 |
| 1205281763 | Cara Bowton | Student in an Organized Health Care Education/Training Program | 4051 Linden Ave, Western Springs, IL 60558 | 2016-05-03 |
| 1598109803 | Megan Marie Tierney | Student in an Organized Health Care Education/Training Program | 5001 Lawn Ave, Western Springs, IL 60558 | 2013-04-18 |
| 1013275189 | Farouk Fahim Girgis | Specialist | 5731 Grand Avenue, Western Springs, IL 60558 | 2012-04-26 |
| 1346516507 | Dara Kruchko | Occupational Therapist | 3839 Central Ave., Western Springs, IL 60558 | 2012-03-31 |
| 1346540697 | John Vrchota IIi | Pharmacist | #14 Garden Market St, Western Springs, IL 60558 | 2010-11-02 |
| 1447574637 | Ryan Schmaedeke | Physical Therapist | 4700 Gilbert Ave Ste 43a, Western Springs, IL 60558 | 2010-03-17 |
| 1043463664 | Matthew David Peahl | Chiropractor | 1052 Hillgrove Ave., Western Springs, IL 60558 | 2008-10-28 |
| Find all providers in zip 60558 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942782313 | Tom Schimel | Counselor | 1023 Burlington Avenue, Western Springs, IL 60558 | 2018-09-03 |
| 1972956548 | Eliot Marshall Pontius | Counselor | 1023 Bulington Avenue, Western Springs, IL 60558-1515 | 2016-07-19 |
| 1861503773 | Jenifer D Verber | Counselor | 1023 Burlington Ave, Western Springs, IL 60558-1516 | 2006-08-31 |
| 1437783081 | Virginia Clara Westfall | Counselor | 1023 Burlington Ave, Western Springs, IL 60558-1516 | 2020-02-22 |
| 1083258305 | Andrea Medina | Counselor | 1023 Burlington Ave, Western Springs, IL 60558-1516 | 2019-10-30 |
| 1235772005 | Tarina Riley | Counselor | 1023 Burlington Ave, Western Springs, IL 60558-1516 | 2019-10-23 |
| 1689224636 | Hayde Santoyo | Counselor | 1023 Burlington Ave, Western Springs, IL 60558-1516 | 2019-09-11 |
| 1518516418 | Hana Crnovrsanin | Counselor | 1023 Burlington Ave, Western Springs, IL 60558-1516 | 2019-09-04 |
| 1114572930 | Karla Mata | Counselor | 1023 Burlington Ave, Western Springs, IL 60558-1516 | 2019-08-08 |
| 1518521632 | Blanca Margarita Figueroa | Counselor | 1023 Burlington Ave, Western Springs, IL 60558-1516 | 2019-04-24 |
| Find all providers in WESTERN SPRINGS | ||||
| City | WESTERN SPRINGS |
| Zip Code | 60558 |
Please comment or provide details below to improve the information on MARISSA WALSH.
| 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.