MARISA DAWN BASHORE LPC
NPI 1780450056
Counselor - Professional in Anchorage, AK
About Marisa Dawn Bashore Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARISA DAWN BASHORE LPC (NPI 1780450056) is an individual professional provider in Anchorage, Alaska, licensed in Alaska (163828) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Marisa Dawn Bashore Lpc 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.
Medicare Billing Reassignment
Medicare enrollment records show Marisa Bashore reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Lihue, HI 96766
- Reassigned Medicare billing, Hawaii enrollment
- 206 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Marisa Bashore's NPI number?
The NPI number for Marisa Bashore is 1780450056. It was assigned to this individual provider in the NPPES registry on November 28, 2023.
Where is Marisa Bashore located?
Marisa Bashore practices at 9940 Chelatna Cir, Anchorage, AK 99515. The listed phone number is (907) 302-1070.
What is Marisa Bashore's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Marisa Bashore enrolled in Medicare?
Yes. Marisa Bashore 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.
Which organization bills Medicare for Marisa Bashore's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Marisa Bashore reassigns Medicare benefits to Kaiser Foundation Health Plan, Inc. (Lihue, HI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marisa Bashore's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Marisa Bashore was last updated on December 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Marisa Dawn Bashore, LPC · NPI 1780450056
Professional provider in Anchorage, Alaska. Individual provider, active in the CMS NPPES registry since November 28, 2023.
## Identity
- **NPI:** 1780450056 (Entity type: Individual)
- **Enumerated:** November 28, 2023
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 163828 (Alaska)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 9940 CHELATNA CIR, Anchorage, AK 99515-1477
- **Phone:** (907) 302-1070
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Kaiser Foundation Health Plan, Inc. (NPI 1497124812, Lihue, HI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** December 1, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1780450056) · Data from the CMS NPPES public registry.