Active NPIIndividual providerSole proprietor

Marissa Ross, MA, EDS, LAC

Counselor, Mental Health in Ridgewood, New Jersey

NPI Number1386392611
Practice location
75 N Maple Ave Ste 101B, Ridgewood, NJ 07450-3261
Fax
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Last updated
March 15, 2022

Marissa Ross is a Counselor, Mental Health based in Ridgewood, NJ. Marissa Ross practices in Ridgewood, NJ and has the professional credentials of MA, EDS, LAC. The NPI Number for Marissa Ross is 1386392611. The current practice location address for Marissa Ross is 75 N Maple Ave Ste 101B, Ridgewood, NJ 07450-3261 and can be reached out via phone at 551-250-1017.

Provider Profile Details

NPI Number
1386392611
Provider Name
Marissa Ross
Credential
MA, EDS, LAC
Provider Entity Type
Individual
Gender
Female
Address
75 N Maple Ave Ste 101B, Ridgewood, NJ 07450-3261
Phone Number
551-250-1017
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Provider Enumeration Date
March 15, 2022
Last Update Date
March 15, 2022
Certification Date
March 14, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
75 N Maple Ave Ste 101B
Ridgewood, NJ 07450-3261
Zip
07450-3261
Phone Number
551-250-1017
Ridgewood, NJ 07450Get directions →

Provider Business Mailing Address Details

Address
11 Amerman Ln
Belle Mead, NJ 08502-5141
City
Belle Mead
State
NJ
Zip
08502-5141
Phone Number
908-655-8441

License Information

Taxonomy
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Marissa Ross, MA, EDS, LAC?

The NPI number of Marissa Ross, MA, EDS, LAC is 1386392611. It was assigned on March 15, 2022 and is currently active in the NPPES registry.

What is the specialty of Marissa Ross, MA, EDS, LAC?

Marissa Ross, MA, EDS, LAC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).

Where does Marissa Ross, MA, EDS, LAC practice?

The practice location is 75 N Maple Ave Ste 101B, Ridgewood, NJ 07450-3261. The office can be reached at 551-250-1017 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1386392611 directly on the NPPES registry website.

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