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MARISSA DAMPHOUSSE LMFT
NPI 1730871211
Marriage & Family Therapist in Oakland, CA

Active since May 23, 2023Opted out of Medicare · through Jan 1, 2028
4100 GREGORY ST, OAKLAND, CA 94619(510) 290-3601 Get Directions Write a Review

NPPES record last updated: May 23, 2023. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Marissa Damphousse Lmft NPPES

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

MARISSA DAMPHOUSSE LMFT (NPI 1730871211) is an individual marriage & family therapist in Oakland, California, licensed in California (106722) and active in the NPI registry since May 2023. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1730871211
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMARISSA DAMPHOUSSECredential: LMFT
Location Address4100 GREGORY STOakland, CA 94619-2237
Mailing Address4100 Gregory StOakland, CA 94619-2237 · (510) 290-3601
Phone(510) 290-3601
Sole ProprietorNo
Enumeration DateMay 23, 2023
NPPES CertifiedMay 23, 2023
✔ NPI 1730871211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 106722
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
4100 GREGORY ST, Oakland, CA 94619
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Other Names 1

Professional Name (2)Marissa Baumann Lmft

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Marissa Damphousse Lmft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Damphousse's NPI number?

The NPI number for Marissa Damphousse is 1730871211. It was assigned to this individual provider in the NPPES registry on May 23, 2023. The provider is also known as Marissa Baumann Lmft.

Where is Marissa Damphousse located?

Marissa Damphousse practices at 4100 Gregory St, Oakland, CA 94619. The listed phone number is (510) 290-3601.

What is Marissa Damphousse's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Marissa Damphousse enrolled in Medicare?

No. Marissa Damphousse has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Marissa Damphousse was last updated on May 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.