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MARISSA L ILLINGWORTH CRM PSS
NPI 1467152413
Peer Specialist in Salem, OR

Active since March 08, 2023
2045 SILVERTON RD NE, SALEM, OR 97301(503) 576-4660(503) 361-2688 Get Directions Write a Review

NPPES record last updated: July 17, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 17, 2024, Mar 8, 2023 (2 updates tracked since 2023).

About Marissa L Illingworth Crm Pss NPPES

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

MARISSA L ILLINGWORTH CRM PSS (NPI 1467152413) is an individual peer specialist in Salem, Oregon, licensed in Oregon (22-CRM--1462) and active in the NPI registry since March 2023.

NPPES Registry Identity

NPI1467152413
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameMARISSA L ILLINGWORTHCredential: CRM PSS
Location Address2045 SILVERTON RD NESalem, OR 97301-0100
Mailing Address5189 Dome Rock Ct SeSalem, OR 97306-2550 · (503) 851-6279
Phone(503) 576-4660
Fax(503) 361-2688
Sole ProprietorNo
Enumeration DateMarch 8, 2023
Last NPPES UpdateJuly 17, 20242 updates tracked since enumeration
NPPES CertifiedJuly 17, 2024
✔ NPI 1467152413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in OR · 22-CRM--1462
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License T-23-2885 (OR)
2045 SILVERTON RD NE, Salem, OR 97301
Open in Google Maps ↗

Other Identifiers 1

OtherT-23-2885OR · Mhacbo

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.

SCOTT WILLIAM WOOLDRIDGE RN
Registered Nurse (Psychiatric/Mental Health)
2045 SILVERTON RD NE
SALEM, OR 97301
Marion County (503) 588-5351
MR. NATHANIEL KRAVITZ RN, MN, PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
2045 SILVERTON RD NE
SALEM, OR 97301
Marion County (503) 588-5351
NICOLE ALEXANDRA JANKE
Counselor (Addiction (Substance Use Disorder))
2045 SILVERTON RD NE
SALEM, OR 97301
Marion County (503) 588-5351
MR. WILL HARLEY CRM
Peer Specialist
2045 SILVERTON RD NE
SALEM, OR 97301
Marion County (971) 446-0237
MRS. ADRIANA J PERRY PHARMD
Pharmacist
2045 SILVERTON RD NE
SALEM, OR 97301
Marion County (503) 364-3047
SHEA C MCELROY CADC-R
Counselor (Addiction (Substance Use Disorder))
2045 SILVERTON RD NE
SALEM, OR 97301
Marion County (503) 576-4660
MICHAEL TYSON OLIVER
Case Manager/Care Coordinator
2045 SILVERTON RD NE
SALEM, OR 97301
Marion County (971) 446-0237
DEBORAH LYNN RICE
Counselor (Mental Health)
2045 SILVERTON RD NE
SALEM, OR 97301
Marion County (503) 588-5351

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 Illingworth's NPI number?

The NPI number for Marissa Illingworth is 1467152413. It was assigned to this individual provider in the NPPES registry on March 8, 2023.

Where is Marissa Illingworth located?

Marissa Illingworth practices at 2045 Silverton Rd NE, Salem, OR 97301. The listed phone number is (503) 576-4660.

What is Marissa Illingworth's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Marissa Illingworth was last updated on July 17, 2024. 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.