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MARISSA ANN WIDENER LPC
NPI 1104525880
Counselor - Professional in Phoenix, AZ

Active since March 01, 2023PECOS EnrolledAccepts Medicare Assignment
3033 N CENTRAL AVE STE 700, PHOENIX, AZ 85012(602) 230-7373(602) 682-7455 Get Directions Write a Review

NPPES record last updated: June 10, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 30, 2026, Mar 1, 2023 (2 updates tracked since 2023).

About Marissa Ann Widener Lpc NPPES

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

MARISSA ANN WIDENER LPC (NPI 1104525880) is an individual professional provider in Phoenix, Arizona, licensed in Arizona (LPC-24585) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Phoenix, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1104525880
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMARISSA ANN WIDENERCredential: LPC
Location Address3033 N CENTRAL AVE STE 700Phoenix, AZ 85012-2806
Mailing Address3101 N Central Ave Ste 550Phoenix, AZ 85012-2635 · (602) 230-7373 · Fax (602) 682-7455
Phone(602) 230-7373
Fax(602) 682-7455
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 1, 2023
Last NPPES UpdateJune 10, 20262 updates tracked since enumeration
NPPES CertifiedJune 10, 2026
✔ NPI 1104525880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in AZ · LPC-24585
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License LPC-24585 (AZ)
3033 N CENTRAL AVE STE 700, Phoenix, AZ 85012
Open in Google Maps ↗

Secondary Practice Location 1

Location 12211 E Highland Ave Ste 205Phoenix, AZ 85016-4834 · Phone (888) 661-2742 · Fax (312) 275-7663

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc., UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Marissa Ann Widener Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9931672425
PECOS Enrollment IDI20260625003587
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Marissa Widener reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Denova Collaborative Health, LLC
Same address
Multi-Specialty
3033 N CENTRAL AVE STE 700
Phoenix, AZ 85012
  • Reassigned Medicare billing, Arizona enrollment
  • 282 clinicians in this Medicare group
NPI 1871915827 (602) 230-7373

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 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FERNANDA BARRAGAN GARCIA LMSW
Social Worker (Clinical)
3033 N CENTRAL AVE STE 700
PHOENIX, AZ 85012
Maricopa County (602) 230-7373
HARMONY LYNN VALLELONGA LPC
Counselor
3033 N CENTRAL AVE STE 700
PHOENIX, AZ 85012
Maricopa County (602) 230-7373
KRISTAL CADE LPC
Counselor (Professional)
3033 N CENTRAL AVE STE 700
PHOENIX, AZ 85012
Maricopa County (602) 230-7373
STEFAN GIBSON
Counselor (Professional)
3033 N CENTRAL AVE STE 700
PHOENIX, AZ 85012
Maricopa County (602) 230-7373
AMELIA R STAHL LAC
Counselor (Mental Health)
3033 N CENTRAL AVE STE 700
PHOENIX, AZ 85012
Maricopa County (602) 230-7373
LEANNA FALLIS RN
Registered Nurse
3033 N CENTRAL AVE STE 700
PHOENIX, AZ 85012
Maricopa County (602) 230-7373
CODY HOWARD LPC
Counselor (Professional)
3033 N CENTRAL AVE STE 700
PHOENIX, AZ 85012
Maricopa County (602) 230-7373
ABRAHAM SALINAS RN
Registered Nurse
3033 N CENTRAL AVE STE 700
PHOENIX, AZ 85012
Maricopa County (602) 230-7373

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 Widener's NPI number?

The NPI number for Marissa Widener is 1104525880. It was assigned to this individual provider in the NPPES registry on March 1, 2023.

Where is Marissa Widener located?

Marissa Widener practices at 3033 N Central Ave Ste 700, Phoenix, AZ 85012. The listed phone number is (602) 230-7373.

What is Marissa Widener's specialty?

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

Is Marissa Widener enrolled in Medicare?

Yes. Marissa Widener is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Marissa Widener's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marissa Widener reassigns Medicare benefits to Denova Collaborative Health, LLC (Phoenix, AZ). 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 Widener's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marissa Widener accept?

Health plans from Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Marissa Widener as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Marissa Widener was last updated on June 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.