MARISA E ETTING MA
NPI 1598720187
Counselor - Mental Health in Providence, RI

Q: What is Marisa Etting's NPI number?

The NPI number for Marisa Etting is 1598720187. It was assigned to this individual provider in the NPPES registry on April 18, 2006.

Q: What is Marisa Etting's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Marisa Etting was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 18, 2006PECOS EnrolledAccepts Medicare Assignment

194 WATERMAN ST, PROVIDENCE, RI 02906(401) 633-2929(888) 602-6957 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Nov 30, 2017 (3 updates tracked since 2017).

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About Marisa E Etting Ma NPPES

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

MARISA E ETTING MA (NPI 1598720187) is an individual mental health provider in Providence, Rhode Island and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1598720187

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMARISA E ETTINGCredential: MA

Location Address194 WATERMAN STProvidence, RI 02906-4015

Mailing Address194 Waterman StProvidence, RI 02906-4015 · (401) 633-2929 · Fax (888) 602-6957

Phone(401) 633-2929

Fax(888) 602-6957

Sole ProprietorNo

Medical School CMSOtherGraduated 2000

Enumeration DateApril 18, 2006

Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration

✔ NPI 1598720187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

194 WATERMAN ST, Providence, RI 02906

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Secondary Practice Locations 2

Location 1750 East AvePawtucket, RI 02860-6165 · Phone (401) 633-2929 · Fax (888) 602-6957

Location 21570 Westminster St, 2nd FloorProvidence, RI 02909-1805 · Phone (401) 633-2929

Other Identifiers 5

MedicaidMS57711RI

Other33058-3RI · Blue Cross Blue Shield

Other9011388RI · Aetna

Other1094200RI · Neighborhood Health Plan Of Rhode Island

OtherMHC00342RI · Lcmhc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care.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

Marisa E Etting Ma 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 ID6901257120

PECOS Enrollment IDI20240814001460

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 20

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

ME PSYCHOTHERAPY, LLC

Community/Behavioral Health