MARISSA EBERT (NPI# 1932570249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932570249 |
| Entity Type | Individual |
| Full Name | MARISSA EBERT |
| Credential | M.S.ED., LPC, NCC |
| Practice Address |
11447 2nd St Suite 9b Roscoe IL 61073-9522 |
| Practice Telephone | 8156014673 |
| Mailing Telephone | 8156014673 |
| Enumeration Date | 2015-10-13 |
| Last Update Date | 2015-10-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
178011174 | IL | Behavioral Health & Social Service Providers |
| Street Address |
11447 2ND ST SUITE 9B |
| City | ROSCOE |
| State | IL |
| Zip Code | 61073-9522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073557229 | Jamie R Wagner | Counselor | 11447 2nd St, Suite 9b, Roscoe, IL 61073-9522 | 2006-06-16 |
| 1700375128 | Katelyn Friemuth | Social Worker | 11447 2nd St, Roscoe, IL 61073-9522 | 2018-05-02 |
| 1851838882 | Jasmin Weger | Registered Nurse | 11447 2nd St, Suite 90, Roscoe, IL 61073-9522 | 2017-01-29 |
| 1992195085 | Jean Weymer | Counselor | 11447 2nd St, Suite 9b, Roscoe, IL 61073-9522 | 2015-01-28 |
| 1689016289 | Grace Varghese | Counselor | 11447 2nd St, Suite 9b, Roscoe, IL 61073 | 2013-07-23 |
| 1598030801 | Michelle L Petty | Counselor | 11447 2nd St, Roscoe, IL 61073-9522 | 2012-03-20 |
| 1154494193 | Vicki Elizabeth Marcum | Social Worker | 11447 2nd St, 9b, Roscoe, IL 61073-9522 | 2006-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396234746 | Zachary J Rio | Physical Therapist | 4675 Bluestem Rd Ste 1, Roscoe, IL 61073 | 2018-05-01 |
| 1548702954 | Vicki Foti | Registered Nurse | 4828 Rockton Road, Roscoe, IL 61073 | 2016-11-16 |
| 1174074975 | James B Garrison | Social Worker | 11447 2nd St, Ste 9b, Roscoe, IL 61073 | 2016-10-18 |
| 1932457355 | Annie Pamela Stephens | Chiropractor | 11673 Main St., Roscoe, IL 61073 | 2012-08-15 |
| 1255602819 | Trent Michael Hippard | Chiropractor | 15724 B Elevator Rd, Roscoe, IL 61073 | 2012-01-13 |
| 1689856437 | Martha M Muldowney | Dentist | 5464 Pine Lane, Roscoe, IL 61073 | 2007-12-04 |
| 1396885794 | Richard Scott Newcomb | Optometrist | 11710 Main St Suite 2, Roscoe, IL 61073 | 2007-02-07 |
| 1356459754 | Margaret Allensworth Franklin | Counselor | 9830 Double Ditch Circle, Roscoe, IL 61073 | 2006-08-26 |
| 1811002660 | Cjn Therapy Services LLC | Counselor | 5334 Williams Drive, Roscoe, IL 61073 | 2006-08-20 |
| 1033142575 | Trina Renee Morgan | Chiropractor | 5724 B Elevator Rd, Roscoe, IL 61073 | 2006-07-08 |
| Find all providers in zip 61073 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528305174 | Shannon M Key | Counselor | 11415 Main St, Roscoe, IL 61073-9500 | 2013-01-15 |
| 1801061569 | Christina Joy Neff | Counselor | 5344 Williams Dr, Roscoe, IL 61073-7320 | 2008-04-24 |
| 1811002660 | Cjn Therapy Services LLC | Counselor | 5334 Williams Drive, Roscoe, IL 61073 | 2006-08-20 |
| 1710584917 | Jessica Lee Lane | Counselor | 5290 Williams Dr, Roscoe, IL 61073-9222 | 2020-10-01 |
| 1316573553 | Lynn Carol Hamilton | Counselor | 11447 2nd St Ste 9b, Roscoe, IL 61073-9522 | 2020-03-19 |
| 1619508124 | Tyler Christian Ege | Counselor | 5290 Williams Dr, Roscoe, IL 61073-9222 | 2020-02-03 |
| 1760994701 | Vanessa Kerno | Counselor | 11447 2nd St Ste 9b, Roscoe, IL 61073-9522 | 2017-10-31 |
| 1992195085 | Jean Weymer | Counselor | 11447 2nd St, Suite 9b, Roscoe, IL 61073-9522 | 2015-01-28 |
| 1639569767 | Mary Katherine Mckinney | Counselor | 11447 2nd St Ste 9b, Roscoe, IL 61073-9522 | 2015-01-27 |
| 1689016289 | Grace Varghese | Counselor | 11447 2nd St, Suite 9b, Roscoe, IL 61073 | 2013-07-23 |
| Find all providers in ROSCOE | ||||
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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.