1. Home
  2. Directory
  3. Illinois
  4. Rockford
  5. Counselor
  6. NPI Profile

MARISSA LEE LODGE
NPI 1467986331
Counselor in Rockford, IL

Active since April 17, 2017
8616 NORTHERN AVE, ROCKFORD, IL 61107(815) 332-8003 Get Directions Write a Review

NPPES record last updated: August 3, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 3, 2018, Apr 18, 2017 (2 updates tracked since 2017).

About Marissa Lee Lodge NPPES

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

MARISSA LEE LODGE (NPI 1467986331) is an individual counselor in Rockford, Illinois and active in the NPI registry since April 2017.

NPPES Registry Identity

NPI1467986331
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMARISSA LEE LODGE
Location Address8616 NORTHERN AVERockford, IL 61107-5309
Mailing Address1021 N Mulford RdRockford, IL 61107-3877
Phone(815) 332-8003
Sole ProprietorYes
Enumeration DateApril 17, 2017
Last NPPES UpdateAugust 3, 20182 updates tracked since enumeration
✔ NPI 1467986331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedBehavior TechnicianTaxonomy 106S00000X
8616 NORTHERN AVE, Rockford, IL 61107
Open in Google Maps ↗

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.

HOLLY BRUN
Counselor
8616 NORTHERN AVE
ROCKFORD, IL 61107
Winnebago County (815) 332-8003
MR. JACOB R WILSON BA
Counselor (Mental Health)
8616 NORTHERN AVE
ROCKFORD, IL 61107
Winnebago County (815) 391-1000
SEAN WALSH LPC
Counselor (Professional)
8616 NORTHERN AVE
ROCKFORD, IL 61107
Winnebago County (815) 332-8003
DEBRA CORRIGAN APN
Nurse Practitioner (Psychiatric/Mental Health)
8616 NORTHERN AVE
ROCKFORD, IL 61107
Winnebago County (815) 399-9700
JACQUELINE BELTER
Counselor
8616 NORTHERN AVE
ROCKFORD, IL 61107
Winnebago County (815) 332-8003
ALICIA ANDERSON L.S.W.
Social Worker
8616 NORTHERN AVE
ROCKFORD, IL 61107
Winnebago County (815) 338-8003
CHRISTINA ADAMS
Counselor
8616 NORTHERN AVE
ROCKFORD, IL 61107
Winnebago County (815) 332-8003
MELISSA LEE
Counselor
8616 NORTHERN AVE
ROCKFORD, IL 61107
Winnebago County (815) 332-8003

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 Lodge's NPI number?

The NPI number for Marissa Lodge is 1467986331. It was assigned to this individual provider in the NPPES registry on April 17, 2017.

Where is Marissa Lodge located?

Marissa Lodge practices at 8616 Northern Ave, Rockford, IL 61107. The listed phone number is (815) 332-8003.

What is Marissa Lodge'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 Lodge was last updated on August 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.