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MARISSA MAE ILAC LCPC
NPI 1497339493
Counselor - Mental Health in Polson, MT

Active since May 06, 2021PECOS EnrolledAccepts Medicare Assignment
402 1ST ST. E. #205, POLSON, MT 59860(406) 260-1716 Get Directions Write a Review

NPPES record last updated: May 6, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Marissa Mae Ilac Lcpc NPPES

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

MARISSA MAE ILAC LCPC (NPI 1497339493) is an individual mental health provider in Polson, Montana, licensed in Montana (BBH-LCPC-LIC-48659) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1497339493
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMARISSA MAE ILACCredential: LCPC
Location Address402 1ST ST. E. #205Polson, MT 59860
Mailing AddressPo Box 731Hot Springs, MT 59845-0731 · (406) 260-1716
Phone(406) 260-1716
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateMay 6, 2021
NPPES CertifiedMay 3, 2021
✔ NPI 1497339493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MT · BBH-LCPC-LIC-48659

Other Names 1

Professional Name (2)Marissa Mae Ilac Lcpc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana.Insurance ›

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 Mae Ilac Lcpc 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 ID9931545092
PECOS Enrollment IDI20240312000066
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.

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 Ilac's NPI number?

The NPI number for Marissa Ilac is 1497339493. It was assigned to this individual provider in the NPPES registry on May 6, 2021. The provider is also known as Marissa Mae Ilac Lcpc.

Where is Marissa Ilac located?

Marissa Ilac practices at 402 1st St. E. #205, Polson, MT 59860. The listed phone number is (406) 260-1716.

What is Marissa Ilac's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Marissa Ilac enrolled in Medicare?

Yes. Marissa Ilac 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.

What insurance does Marissa Ilac accept?

Health plans from Blue Cross and Blue Shield of Montana list Marissa Ilac 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 Ilac was last updated on May 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.