1. Home
  2. Directory
  3. Missouri
  4. Jefferson City
  5. Counselor
  6. NPI Profile

MARISSA R ABBOTT
NPI 1093170219
Counselor - Professional in Jefferson City, MO

Active since December 15, 2015
919 WILDWOOD DR, SUITE 104, JEFFERSON CITY, MO 65109(573) 635-9654(573) 635-4466 Get Directions Write a Review

NPPES record last updated: April 21, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 22, 2016, Dec 15, 2015 (2 updates tracked since 2015).

About Marissa R Abbott NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARISSA R ABBOTT (NPI 1093170219) is a healthcare organization registered as a professional in Jefferson City, Missouri and active in the NPI registry since December 2015. The organization lists Marissa Rae Abbott, Licensed Professional Counselor, as its authorized official.

NPPES Registry Identity

NPI1093170219
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameMARISSA R ABBOTT
Location Address919 WILDWOOD DR, SUITE 104Jefferson City, MO 65109-5798
Mailing Address722 Hobbs RdJefferson City, MO 65109-6819 · (573) 286-5023
Phone(573) 635-9654
Fax(573) 635-4466
Organization SubpartNo
Authorized OfficialMarissa Rae AbbottLicensed Professional Counselor · (573) 286-5023
Enumeration DateDecember 15, 2015
Last NPPES UpdateApril 21, 20162 updates tracked since enumeration
✔ NPI 1093170219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
919 WILDWOOD DR, Jefferson City, MO 65109
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marissa R Abbott's NPI number?

The NPI number for Marissa R Abbott is 1093170219. It was assigned to this organization in the NPPES registry on December 15, 2015.

Where is Marissa R Abbott located?

Marissa R Abbott is located at 919 Wildwood Dr Suite 104, Jefferson City, MO 65109. The listed phone number is (573) 635-9654.

What is Marissa R Abbott's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Marissa R Abbott was last updated on April 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.