MARISSA MATA LPC
NPI 1477380368
Counselor - Professional in San Antonio, TX
About Marissa Mata Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARISSA MATA LPC (NPI 1477380368) is an individual professional provider in San Antonio, Texas, licensed in Texas (88864) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Antonio, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Marissa Mata 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.
Medicare Billing Reassignment
Medicare enrollment records show Marissa Mata reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Antonio, TX 78229
- Reassigned Medicare billing, Texas enrollment
- 2,397 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.
SAN ANTONIO, TX 78240
SAN ANTONIO, TX 78240
SAN ANTONIO, TX 78240
SAN ANTONIO, TX 78240
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 Mata's NPI number?
The NPI number for Marissa Mata is 1477380368. It was assigned to this individual provider in the NPPES registry on September 16, 2024.
Where is Marissa Mata located?
Marissa Mata practices at 5788 Eckhert Rd, San Antonio, TX 78240. The listed phone number is (210) 450-6450.
What is Marissa Mata's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Marissa Mata enrolled in Medicare?
Yes. Marissa Mata 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.
Which organization bills Medicare for Marissa Mata's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Marissa Mata reassigns Medicare benefits to University Of Texas Health Science Center At San Antonio (San Antonio, TX). 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 Mata's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Marissa Mata accept?
Health plans from Antidote Health of TX, Blue Cross and Blue Shield of Texas, Community First, Harbor Health and Imperial Insurance Companies, Inc. and 1 other insurer list Marissa Mata 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 Mata was last updated on November 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.
# Marissa Mata, LPC · NPI 1477380368
Professional provider in San Antonio, Texas. Individual provider, active in the CMS NPPES registry since September 16, 2024.
## Identity
- **NPI:** 1477380368 (Entity type: Individual)
- **Enumerated:** September 16, 2024
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 88864 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 5788 ECKHERT RD, San Antonio, TX 78240-3900
- **Phone:** (210) 450-6450
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** University Of Texas Health Science Center At San Antonio (NPI 1760424873, San Antonio, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** November 15, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1477380368) · Data from the CMS NPPES public registry.