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MARISA MANCINI ROTHROCK
NPI 1174024988
Counselor - Professional in Albuquerque, NM

Active since February 27, 2018PECOS EnrolledAccepts Medicare Assignment
7850 JEFFERSON ST NE STE 300, ALBUQUERQUE, NM 87109(505) 884-1114(505) 884-3004 Get Directions Write a Review

NPPES record last updated: April 19, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Marisa Mancini Rothrock NPPES

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

MARISA MANCINI ROTHROCK (NPI 1174024988) is an individual professional provider in Albuquerque, New Mexico, licensed in New Mexico (CCMH0222441) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1174024988
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMARISA MANCINI ROTHROCK
Location Address7850 JEFFERSON ST NE STE 300Albuquerque, NM 87109-4314
Mailing Address1814 Don Felipe Rd SwAlbuquerque, NM 87105-6654 · (505) 321-0906
Phone(505) 884-1114
Fax(505) 884-3004
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateFebruary 27, 2018
Last NPPES UpdateApril 19, 2023
NPPES CertifiedApril 19, 2023
✔ NPI 1174024988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in NM · CCMH0222441
7850 JEFFERSON ST NE STE 300, Albuquerque, NM 87109
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Marisa Mancini Rothrock 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 ID7719330430
PECOS Enrollment IDI20240130001533
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.

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.

KIRA ELIZABETH WEGE
Counselor (Mental Health)
7850 JEFFERSON ST NE STE 300
ALBUQUERQUE, NM 87109
Bernalillo County (505) 884-1114
GEORGE J CONNER
Counselor (Mental Health)
7850 JEFFERSON ST NE STE 300
ALBUQUERQUE, NM 87109
Bernalillo County (505) 884-1114
SAGE PRIMARY CARE CLINIC
Internal Medicine
7850 JEFFERSON ST NE STE 300
ALBUQUERQUE, NM 87109
Bernalillo County (505) 884-1114
ISAAC JORDAN PENNER MA, LPCC
Counselor (Professional)
7850 JEFFERSON ST NE STE 300
ALBUQUERQUE, NM 87109
Bernalillo County (505) 379-4035
MR. CRAIG JAMES SALISBURY LPCC
Counselor (Professional)
7850 JEFFERSON ST NE STE 300
ALBUQUERQUE, NM 87109
Bernalillo County (505) 226-2839
DR. BRENDA L. WOLFE PHD
Psychologist (Clinical)
7850 JEFFERSON ST NE STE 300
ALBUQUERQUE, NM 87109
Bernalillo County (505) 884-1114
DR. ANTHONY JAMES HOLZGANG MD
Psychiatry & Neurology (Psychiatry)
7850 JEFFERSON ST NE STE 300
ALBUQUERQUE, NM 87109
Bernalillo County (505) 884-1114
MR. JOHN HEINRICH REISER LPCC
Counselor (Professional)
7850 JEFFERSON ST NE STE 300
ALBUQUERQUE, NM 87109
Bernalillo County (505) 884-1114

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 Marisa Rothrock's NPI number?

The NPI number for Marisa Rothrock is 1174024988. It was assigned to this individual provider in the NPPES registry on February 27, 2018.

Where is Marisa Rothrock located?

Marisa Rothrock practices at 7850 Jefferson St NE Ste 300, Albuquerque, NM 87109. The listed phone number is (505) 884-1114.

What is Marisa Rothrock's specialty?

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

Is Marisa Rothrock enrolled in Medicare?

Yes. Marisa Rothrock 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.

When was this NPI record last updated?

The NPPES record for Marisa Rothrock was last updated on April 19, 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.