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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MARISSA ANN BROWN LCPC
NPI 1528841012
Counselor - Professional in Peoria, IL

Active since August 17, 2023PECOS Enrolled
2000 W PIONEER PKWY STE 14, PEORIA, IL 61615(309) 550-1001(309) 322-6470 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 23, 2023, Aug 17, 2023 (2 updates tracked since 2023).

About Marissa Ann Brown Lcpc NPPES

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

MARISSA ANN BROWN LCPC (NPI 1528841012) is an individual professional provider in Peoria, Illinois, licensed in Illinois (180.015496) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1528841012
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMARISSA ANN BROWNCredential: LCPC
Location Address2000 W PIONEER PKWY STE 14Peoria, IL 61615-1882
Mailing Address2000 W Pioneer Pkwy Ste 14Peoria, IL 61615-1882 · (309) 550-1011 · Fax (309) 322-6470
Phone(309) 550-1001
Fax(309) 322-6470
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 17, 2023
Last NPPES UpdateJune 30, 20262 updates tracked since enumeration
NPPES CertifiedJune 30, 2026
✔ NPI 1528841012 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 IL · 180.015496
2000 W PIONEER PKWY STE 14, Peoria, IL 61615
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Other Names 1

Former Name (1)Marissa Ann Kroll

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marissa Ann Brown Lcpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6901243161
PECOS Enrollment IDI20240322003040
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 4

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

JULIE KRISTINE PETERS LCPC
Counselor (Professional)
2000 W PIONEER PKWY STE 14
PEORIA, IL 61615
Peoria County (309) 550-1001
ALYSSA ANN EVETT LCSW
Social Worker (Clinical)
2000 W PIONEER PKWY STE 14
PEORIA, IL 61615
Peoria County (309) 550-1001
FULL CIRCLE COUNSELING AND WELLNESS, LLC
Counselor (Professional)
2000 W PIONEER PKWY STE 14
PEORIA, IL 61615
Peoria County (309) 550-1001
KIRSTEN MILLER
Counselor (Mental Health)
2000 W PIONEER PKWY STE 14
PEORIA, IL 61615
Peoria County (309) 550-1001

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 Brown's NPI number?

The NPI number for Marissa Brown is 1528841012. It was assigned to this individual provider in the NPPES registry on August 17, 2023. The provider is also known as Marissa Ann Kroll.

Where is Marissa Brown located?

Marissa Brown practices at 2000 W Pioneer Pkwy Ste 14, Peoria, IL 61615. The listed phone number is (309) 550-1001.

What is Marissa Brown's specialty?

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

Is Marissa Brown enrolled in Medicare?

Yes. Marissa Brown is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Marissa Brown was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 42 days 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.