MARISA RAY MACHO GAGNER M.A.
NPI 1225253594
Marriage & Family Therapist in Crookston, MN

Q: What is Marisa Macho Gagner's NPI number?

The NPI number for Marisa Macho Gagner is 1225253594. It was assigned to this individual provider in the NPPES registry on April 13, 2007.

Q: What is Marisa Macho Gagner's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Active since April 13, 2007PECOS Enrolled

603 BRUCE ST, CROOKSTON, MN 56716(218) 281-3940 Get Directions Write a Review

NPPES record last updated: August 5, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Marisa Ray Macho Gagner M.a. NPPES

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

MARISA RAY MACHO GAGNER M.A. (NPI 1225253594) is an individual marriage & family therapist in Crookston, Minnesota, licensed in Minnesota (4108) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1225253594

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMARISA RAY MACHO GAGNERCredential: M.A.

Location Address603 BRUCE STCrookston, MN 56716-2914

Mailing Address603 Bruce StCrookston, MN 56716-2914 · (218) 281-3940

Phone(218) 281-3940

Sole ProprietorNo

Medical School CMSOtherGraduated 2005

Enumeration DateApril 13, 2007

Last NPPES UpdateAugust 5, 2026

NPPES CertifiedAugust 5, 2026

✔ NPI 1225253594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in MN · 4108

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

603 BRUCE ST, Crookston, MN 56716

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marisa Ray Macho Gagner M.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1759849912

PECOS Enrollment IDI20260818002538

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 Marisa Macho Gagner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Alluma, Inc.

Same address

Mental Health (Including Community Mental Health Center)

603 BRUCE ST
Crookston, MN 56716

Reassigned Medicare billing, Minnesota enrollment
39 clinicians in this Medicare group

NPI 1508835133 (218) 281-3940

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.

DENISE ELAINE HAMMER LICSW

Social Worker (Clinical)