MARISSA ADAMCZYK LPC
NPI 1417662552
Counselor - Professional in Broomall, PA

Active since January 23, 2023PECOS EnrolledAccepts Medicare Assignment
2002 SPROUL RD FL 3, BROOMALL, PA 19008(610) 626-8085 Get Directions Write a Review

NPPES record last updated: November 5, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Nov 5, 2025, Jan 23, 2023 (2 updates tracked since 2023).

About Marissa Adamczyk Lpc NPPES

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

MARISSA ADAMCZYK LPC (NPI 1417662552) is an individual professional provider in Broomall, Pennsylvania, licensed in Pennsylvania (PC014242) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1417662552
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMARISSA ADAMCZYKCredential: LPC
Location Address2002 SPROUL RD FL 3Broomall, PA 19008-3510
Mailing Address3535 Market St Ste 5000Philadelphia, PA 19104-3309 · (215) 746-4110 · Fax (215) 746-4116
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJanuary 23, 2023
Last NPPES UpdateNovember 5, 20252 updates tracked since enumeration
NPPES CertifiedNovember 5, 2025
✔ NPI 1417662552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in PA · PC014242
2002 SPROUL RD FL 3, Broomall, PA 19008

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Marissa Adamczyk Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012443617
PECOS Enrollment IDI20241205003347
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.

Other Providers at the Same Location NPPES 3

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

Counselor (Professional)
2002 SPROUL RD FL 3
BROOMALL, PA 19008
Counselor (Mental Health)
2002 SPROUL RD FL 3
BROOMALL, PA 19008
Nurse Practitioner (Psychiatric/Mental Health)
2002 SPROUL RD FL 3
BROOMALL, PA 19008

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 Adamczyk's NPI number?

The NPI number for Marissa Adamczyk is 1417662552. It was assigned to this individual provider in the NPPES registry on January 23, 2023.

Where is Marissa Adamczyk located?

Marissa Adamczyk practices at 2002 Sproul Rd Fl 3, Broomall, PA 19008. The listed phone number is (610) 626-8085.

What is Marissa Adamczyk's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Marissa Adamczyk enrolled in Medicare?

Yes. Marissa Adamczyk is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Marissa Adamczyk was last updated on November 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.