MARISSA ANDRADE
NPI 1346712577
Counselor - Mental Health in Salt Lake City, UT
About Marissa Andrade NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARISSA ANDRADE (NPI 1346712577) is an individual mental health provider in Salt Lake City, Utah, licensed in Utah (110415796009) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Marissa Andrade is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Marissa Andrade reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Sheridan, WY 82801
- Reassigned Medicare billing, Oregon enrollment
- 47 clinicians in this Medicare group
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.
SALT LAKE CITY, UT 84111
SLC, UT 84111
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 Andrade's NPI number?
The NPI number for Marissa Andrade is 1346712577. It was assigned to this individual provider in the NPPES registry on December 28, 2018.
Where is Marissa Andrade located?
Marissa Andrade practices at 150 E 700 S, Salt Lake City, UT 84111. The listed phone number is (801) 574-1073.
What is Marissa Andrade's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Marissa Andrade enrolled in Medicare?
Yes. Marissa Andrade is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Marissa Andrade's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Marissa Andrade reassigns Medicare benefits to Lgbtq Telepsychiatry (Sheridan, WY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marissa Andrade's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Marissa Andrade accept?
Health plans from BridgeSpan Health Company, Moda Health Plan, Inc., Regence BlueCross BlueShield of Oregon and Select Health list Marissa Andrade as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Marissa Andrade was last updated on December 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Marissa Andrade · NPI 1346712577
Mental Health provider in Salt Lake City, Utah. Individual provider, active in the CMS NPPES registry since December 28, 2018.
## Identity
- **NPI:** 1346712577 (Entity type: Individual)
- **Enumerated:** December 28, 2018
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 110415796009 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 150 E 700 S, Salt Lake City, UT 84111-3806
- **Phone:** (801) 574-1073
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Lgbtq Telepsychiatry (NPI 1336722859, Sheridan, WY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** December 28, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1346712577) · Data from the CMS NPPES public registry.