MARISSA ANNE SMOOK LPCC
NPI 1639957004
Counselor - Professional in Fridley, MN

Active since September 18, 2023PECOS EnrolledAccepts Medicare Assignment
7954 UNIVERSITY AVE NE, FRIDLEY, MN 55432(763) 780-3036 Get Directions Write a Review

NPPES record last updated: March 5, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Marissa Anne Smook Lpcc NPPES

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

MARISSA ANNE SMOOK LPCC (NPI 1639957004) is an individual professional provider in Fridley, Minnesota, licensed in Minnesota (CC04025) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in Blaine, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1639957004
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMARISSA ANNE SMOOKCredential: LPCC
Location Address7954 UNIVERSITY AVE NEFridley, MN 55432-1860
Mailing Address7954 University Ave NeFridley, MN 55432-1860 · (763) 780-3036
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 18, 2023
Last NPPES UpdateMarch 5, 2025
NPPES CertifiedMarch 5, 2025
NPI 1639957004 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 MN · CC04025
7954 UNIVERSITY AVE NE, Fridley, MN 55432

Secondary Practice Location 1

Location 110729 Town Square Dr NE Ste 120Blaine, MN 55449-7923 · Phone (763) 343-9010 · Fax (763) 343-9011

Accepted 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 Anne Smook Lpcc 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 ID2668993064
PECOS Enrollment IDI20250228003179
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.

Counselor (Mental Health)
7954 UNIVERSITY AVE NE
FRIDLEY, MN 55432
Psychologist
7954 UNIVERSITY AVE NE
FRIDLEY, MN 55432
Social Worker (Clinical)
7954 UNIVERSITY AVE NE
FRIDLEY, MN 55432
Social Worker (Clinical)
7954 UNIVERSITY AVE NE
FRIDLEY, MN 55432
Social Worker (Clinical)
7954 UNIVERSITY AVE NE
FRIDLEY, MN 55432
Social Worker (Clinical)
7954 UNIVERSITY AVE NE
FRIDLEY, MN 55432
Clinic/Center (Mental Health (Including Community Mental Health Center))
7954 UNIVERSITY AVE NE
FRIDLEY, MN 55432
Counselor (Mental Health)
7954 UNIVERSITY AVE NE
FRIDLEY, MN 55432

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 Smook's NPI number?

The NPI number for Marissa Smook is 1639957004. It was assigned to this individual provider in the NPPES registry on September 18, 2023.

Where is Marissa Smook located?

Marissa Smook practices at 7954 University Ave NE, Fridley, MN 55432. The listed phone number is (763) 780-3036.

What is Marissa Smook's specialty?

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

Is Marissa Smook enrolled in Medicare?

Yes. Marissa Smook 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 Smook accept?

Health plans from HealthPartners, Providence Health Plan and Sanford Health Plan list Marissa Smook 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 Smook was last updated on March 5, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.