Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

MARISSA GRAVELLE
NPI 1285551069
Counselor - Mental Health in Campbellsport, WI

Active since July 01, 2026
133 W MAIN ST, CAMPBELLSPORT, WI 53010(920) 266-9022 Get Directions Write a Review

NPPES record added: July 1, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Marissa Gravelle NPPES

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

MARISSA GRAVELLE (NPI 1285551069) is an individual mental health provider in Campbellsport, Wisconsin, licensed in Wisconsin (9148-226) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1285551069
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMARISSA GRAVELLE
Location Address133 W MAIN STCampbellsport, WI 53010-2706
Mailing Address133 W Main StCampbellsport, WI 53010-2706
Sole ProprietorNo
Enumeration DateJuly 1, 2026
NPPES CertifiedJuly 1, 2026
NPI 1285551069 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 WI · 9148-226
133 W MAIN ST, Campbellsport, WI 53010

Other Providers at the Same Location NPPES

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

Counselor (Professional)
133 W MAIN ST
CAMPBELLSPORT, WI 53010

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 Gravelle's NPI number?

The NPI number for Marissa Gravelle is 1285551069. It was assigned to this individual provider in the NPPES registry on July 1, 2026.

Where is Marissa Gravelle located?

Marissa Gravelle practices at 133 W Main St, Campbellsport, WI 53010. The listed phone number is (920) 266-9022.

What is Marissa Gravelle's specialty?

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

When was this NPI record last updated?

The NPPES record for Marissa Gravelle was last updated on July 1, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.