MARISSA BRANDENBURG LPC
NPI 1114309796
Counselor - Mental Health in Fruitport, MI
About Marissa Brandenburg Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARISSA BRANDENBURG LPC (NPI 1114309796) is an individual mental health provider in Fruitport, Michigan, licensed in Michigan (6401014770) and active in the NPI registry since June 2015.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FRUITPORT, MI 49415
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 Brandenburg's NPI number?
The NPI number for Marissa Brandenburg is 1114309796. It was assigned to this individual provider in the NPPES registry on June 19, 2015.
Where is Marissa Brandenburg located?
Marissa Brandenburg practices at 3255 Pontaluna Rd, Fruitport, MI 49415. The listed phone number is (231) 733-6720.
What is Marissa Brandenburg's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
What insurance does Marissa Brandenburg accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Marissa Brandenburg 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 Brandenburg was last updated on January 2, 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 Brandenburg, LPC · NPI 1114309796
Mental Health provider in Fruitport, Michigan. Individual provider, active in the CMS NPPES registry since June 19, 2015.
## Identity
- **NPI:** 1114309796 (Entity type: Individual)
- **Enumerated:** June 19, 2015
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 6401014770 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 3255 PONTALUNA RD, Fruitport, MI 49415
- **Phone:** (231) 733-6720
## Record status
- **NPPES last updated:** January 2, 2022
- **Other identifiers:** Medicaid 1114309796 (MI)
---
Source: [NPI Profile](https://npiprofile.com/npi/1114309796) · Data from the CMS NPPES public registry.