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MARISSA PHILLIPS BURKHALTER
NPI 1164107520
Counselor - Professional in Rome, GA

Active since June 21, 2023

NPPES record last updated: June 21, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Marissa Phillips Burkhalter NPPES

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

MARISSA PHILLIPS BURKHALTER (NPI 1164107520) is an individual professional provider in Rome, Georgia and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1164107520
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMARISSA PHILLIPS BURKHALTER
Location Address106 E 5TH AVERome, GA 30161-3128
Mailing Address4 Fuqua Ct NwRome, GA 30165-9732
Phone(706) 509-0130
Sole ProprietorNo
Enumeration DateJune 21, 2023
NPPES CertifiedJune 21, 2023
✔ NPI 1164107520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
106 E 5TH AVE, Rome, GA 30161
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Other Providers at the Same Location NPPES 5

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

DR. JOHN AZAR-DICKENS PH.D.
Psychologist (Clinical)
106 E 5TH AVE
ROME, GA 30161
Floyd County (706) 232-6743
DR. ELIZABETH AUSTIN PH.D.
Psychologist
106 E 5TH AVE
ROME, GA 30161
Floyd County (706) 232-8330
KAYLA CLARK LPC
Counselor (Mental Health)
106 E 5TH AVE
ROME, GA 30161
Floyd County (706) 509-0130
DR. SHELLEY M PLAUT PSY.D.
Psychologist (Clinical)
106 E 5TH AVE
ROME, GA 30161
Floyd County (706) 506-8684
CATRIN JENSEN LPC
Counselor (Mental Health)
106 E 5TH AVE
ROME, GA 30161
Floyd County (706) 509-0130

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 Burkhalter's NPI number?

The NPI number for Marissa Burkhalter is 1164107520. It was assigned to this individual provider in the NPPES registry on June 21, 2023.

Where is Marissa Burkhalter located?

Marissa Burkhalter practices at 106 E 5th Ave, Rome, GA 30161. The listed phone number is (706) 509-0130.

What is Marissa Burkhalter'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 Burkhalter was last updated on June 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.