MARISSA EVE GAVEN
NPI 1245913946
Counselor - Mental Health in Camarillo, CA

Q: What is Marissa Gaven's NPI number?

The NPI number for Marissa Gaven is 1245913946. It was assigned to this individual provider in the NPPES registry on August 9, 2023.

Q: What is Marissa Gaven's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Marissa Gaven was last updated on October 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since August 09, 2023PECOS Enrolled

3601 CALLE TECATE STE 201, CAMARILLO, CA 93012(805) 289-0120 Get Directions Write a Review

NPPES record last updated: October 30, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 30, 2023, Aug 10, 2023 (2 updates tracked since 2023).

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About Marissa Eve Gaven NPPES

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

MARISSA EVE GAVEN (NPI 1245913946) is an individual mental health provider in Camarillo, California, licensed in California (APCC14645) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1245913946

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMARISSA EVE GAVEN

Location Address3601 CALLE TECATE STE 201Camarillo, CA 93012-5056

Mailing Address3601 Calle Tecate Ste 201Camarillo, CA 93012-5056 · (805) 289-0120

Phone(805) 289-0120

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateAugust 9, 2023

Last NPPES UpdateOctober 30, 20232 updates tracked since enumeration

NPPES CertifiedOctober 30, 2023

✔ NPI 1245913946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in CA · APCC14645

3601 CALLE TECATE STE 201, Camarillo, CA 93012

Open in Google Maps ↗

Other Identifiers 1

Other56CCCA · Aspira

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marissa Eve Gaven is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID42777278

PECOS Enrollment IDI20260807001803

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

Forward Wellness Family Therapy, Inc.

71 mi

Community/Behavioral Health

1041 E YORBA LINDA BLVD STE 202
Placentia, CA 92870

Reassigned Medicare billing, California enrollment
150 clinicians in this Medicare group

NPI 1093398059 (800) 701-0937

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.

MONICA E JUAREZ MS COUNSELING

Case Manager/Care Coordinator