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MARISSA ANDRIS MHCLP
NPI 1730871252
Counselor - Mental Health in Victor, NY

Active since May 23, 2023PECOS Enrolled
6963 SILVERTON GLN, VICTOR, NY 14564(585) 683-1174 Get Directions Write a Review

NPPES record last updated: November 17, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 17, 2025, May 23, 2023 (2 updates tracked since 2023).

About Marissa Andris Mhclp NPPES

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

MARISSA ANDRIS MHCLP (NPI 1730871252) is an individual mental health provider in Victor, New York, licensed in New York (P120588) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1730871252
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMARISSA ANDRISCredential: MHCLP
Location Address6963 SILVERTON GLNVictor, NY 14564-1528
Mailing Address6963 Silverton GlnVictor, NY 14564-1528 · (585) 683-1174
Phone(585) 683-1174
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMay 23, 2023
Last NPPES UpdateNovember 17, 20252 updates tracked since enumeration
NPPES CertifiedNovember 17, 2025
✔ NPI 1730871252 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 NY · P120588
6963 SILVERTON GLN, Victor, NY 14564
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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 Andris Mhclp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9234622606
PECOS Enrollment IDI20251203003715
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 Andris's NPI number?

The NPI number for Marissa Andris is 1730871252. It was assigned to this individual provider in the NPPES registry on May 23, 2023.

Where is Marissa Andris located?

Marissa Andris practices at 6963 Silverton Gln, Victor, NY 14564. The listed phone number is (585) 683-1174.

What is Marissa Andris's specialty?

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

Is Marissa Andris enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Marissa Andris was last updated on November 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.