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MARISSA MILLS
NPI 1780512582
Counselor - Addiction (Substance Use Disorder) in Waterloo, NY

Active since May 12, 2026
31 THURBER DR, WATERLOO, NY 13165(315) 539-1980 Get Directions Write a Review

NPPES record last updated: May 12, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Marissa Mills NPPES

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

MARISSA MILLS (NPI 1780512582) is an individual addiction (substance use disorder) provider in Waterloo, New York, licensed in New York (34625) and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1780512582
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMARISSA MILLS
Location Address31 THURBER DRWaterloo, NY 13165-1665
Mailing Address31 Thurber DrWaterloo, NY 13165-1665
Phone(315) 539-1980
Sole ProprietorNo
Enumeration DateMay 12, 2026
NPPES CertifiedApril 28, 2026
✔ NPI 1780512582 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in NY · 34625
31 THURBER DR, Waterloo, NY 13165
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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.

KAREN ALICE BRIGHAM
Case Manager/Care Coordinator
31 THURBER DR
WATERLOO, NY 13165
Seneca County (315) 539-1922
SANDRA J DONLON-LANDSCHOOT RN
Registered Nurse
31 THURBER DR, SUITE 1
WATERLOO, NY 13165
Seneca County (315) 539-1929
EUGENE STOREY JR.
Peer Specialist
31 THURBER DR
WATERLOO, NY 13165
Seneca County (315) 539-1980
MS. MARY P GRACE LCSW, CASAC, CPP
Social Worker (Clinical)
31 THURBER DR
WATERLOO, NY 13165
Seneca County (315) 539-1985
DAVID P LEE LMSW
Social Worker
31 THURBER DR
WATERLOO, NY 13165
Seneca County (315) 539-1985
STACEY LYNN FEGLEY RN, BSN
Registered Nurse
31 THURBER DR
WATERLOO, NY 13165
Seneca County (315) 539-1929
CYNTHIA EILEEN MECKLEY RN
Registered Nurse
31 THURBER DR
WATERLOO, NY 13165
Seneca County (315) 539-1980
MR. RAYMOND RICHARD PETTIS MS, LMHC
Counselor (Mental Health)
31 THURBER DR
WATERLOO, NY 13165
Seneca County (315) 539-1980

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 Mills's NPI number?

The NPI number for Marissa Mills is 1780512582. It was assigned to this individual provider in the NPPES registry on May 12, 2026.

Where is Marissa Mills located?

Marissa Mills practices at 31 Thurber Dr, Waterloo, NY 13165. The listed phone number is (315) 539-1980.

What is Marissa Mills's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Marissa Mills was last updated on May 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.