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MARISSA WILSON
NPI 1346014982
Counselor in Indianapolis, IN

Active since November 14, 2023
1575 DR MARTIN LUTHER KING JR ST, INDIANAPOLIS, IN 46202(317) 264-2700 Get Directions Write a Review

NPPES record last updated: November 20, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 20, 2023, Nov 14, 2023 (2 updates tracked since 2023).

About Marissa Wilson NPPES

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

MARISSA WILSON (NPI 1346014982) is an individual counselor in Indianapolis, Indiana and active in the NPI registry since November 2023. She maintains a secondary practice location in Indianapolis.

NPPES Registry Identity

NPI1346014982
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMARISSA WILSON
Location Address1575 DR MARTIN LUTHER KING JR STIndianapolis, IN 46202-2250
Mailing Address1575 Dr Martin Luther King Jr StIndianapolis, IN 46202-2295 · (317) 644-7243
Phone(317) 264-2700
Sole ProprietorNo
Enumeration DateNovember 14, 2023
Last NPPES UpdateNovember 20, 20232 updates tracked since enumeration
NPPES CertifiedNovember 20, 2023
✔ NPI 1346014982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
1575 DR MARTIN LUTHER KING JR ST, Indianapolis, IN 46202
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Secondary Practice Location 1

Location 12240 N Meridian StIndianapolis, IN 46208-5728 · Phone (317) 634-6341 · Fax (317) 464-9575

Other Providers at the Same Location NPPES 4

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

CHYNA GATES BSN, RN
Registered Nurse
1575 DR MARTIN LUTHER KING JR ST
INDIANAPOLIS, IN 46202
Marion County (317) 750-6509
JENNA C FARIS MSW, LSW, LCAC
Social Worker (Clinical)
1575 DR MARTIN LUTHER KING JR ST
INDIANAPOLIS, IN 46202
Marion County (317) 264-2700
DR. ALLISON CHESSER NEWSOM MD
Pediatrics
1575 DR MARTIN LUTHER KING JR ST
INDIANAPOLIS, IN 46202
Marion County (317) 264-2700
MRS. ASHLEY RAE RANEY
Social Worker (Clinical)
1575 DR MARTIN LUTHER KING JR ST
INDIANAPOLIS, IN 46202
Marion County (317) 264-2700

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 Wilson's NPI number?

The NPI number for Marissa Wilson is 1346014982. It was assigned to this individual provider in the NPPES registry on November 14, 2023.

Where is Marissa Wilson located?

Marissa Wilson practices at 1575 Dr Martin Luther King Jr St, Indianapolis, IN 46202. The listed phone number is (317) 264-2700.

What is Marissa Wilson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Marissa Wilson was last updated on November 20, 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.