MARISSA VIOLA SMITH MA, LPC, LAC
NPI 1093244485
Counselor - Professional in Broomfield, CO
About Marissa Viola Smith Ma, Lpc, Lac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARISSA VIOLA SMITH MA, LPC, LAC (NPI 1093244485) is an individual professional provider in Broomfield, Colorado, licensed in Colorado (LPC.0014671) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Marissa Viola Smith Ma, Lpc, Lac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Marissa Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Broomfield, CO 80021
- Reassigned Medicare billing, Colorado enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BROOMFIELD, CO 80021
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 Smith's NPI number?
The NPI number for Marissa Smith is 1093244485. It was assigned to this individual provider in the NPPES registry on June 8, 2017.
Where is Marissa Smith located?
Marissa Smith practices at 11001 W 120th Ave Ste 200, Broomfield, CO 80021. The listed phone number is (720) 319-7468.
What is Marissa Smith's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Marissa Smith enrolled in Medicare?
Yes. Marissa Smith is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Marissa Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Marissa Smith reassigns Medicare benefits to Heartwood Counseling Services, LLC (Broomfield, CO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marissa Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Marissa Smith was last updated on June 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Marissa Viola Smith, MA, LPC, LAC · NPI 1093244485
Professional provider in Broomfield, Colorado. Individual provider, active in the CMS NPPES registry since June 8, 2017.
## Identity
- **NPI:** 1093244485 (Entity type: Individual)
- **Enumerated:** June 8, 2017
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** LPC.0014671 (Colorado)
- **Sole proprietor:** No
## Practice location
- **Address:** 11001 W 120TH AVE STE 200, Broomfield, CO 80021-3493
- **Phone:** (720) 319-7468
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Heartwood Counseling Services, LLC (NPI 1962141291, Broomfield, CO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 3, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1093244485) · Data from the CMS NPPES public registry.