MARISA LYNN TAVOLAZZI
NPI 1952958043
Peer Specialist in El Cajon, CA

Active since August 22, 2019
1664 BROADWAY, EL CAJON, CA 92021(619) 579-8685 Get Directions Write a Review

NPPES record last updated: August 22, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Marisa Lynn Tavolazzi NPPES

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

MARISA LYNN TAVOLAZZI (NPI 1952958043) is an individual peer specialist in El Cajon, California and active in the NPI registry since August 2019.

NPPES Registry Identity

NPI1952958043
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameMARISA LYNN TAVOLAZZI
Location Address1664 BROADWAYEl Cajon, CA 92021-5201
Mailing Address1664 BroadwayEl Cajon, CA 92021-5201 · (619) 579-8685
Sole ProprietorNo
Enumeration DateAugust 22, 2019
NPI 1952958043 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
1664 BROADWAY, El Cajon, CA 92021

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)
1664 BROADWAY
EL CAJON, CA 92021
Counselor (Mental Health)
1664 BROADWAY
EL CAJON, CA 92021
Rehabilitation Practitioner
1664 BROADWAY
EL CAJON, CA 92021
Rehabilitation Practitioner
1664 BROADWAY
EL CAJON, CA 92021
Student in an Organized Health Care Education/Training Program
1664 BROADWAY
EL CAJON, CA 92021
Recreation Therapist
1664 BROADWAY
EL CAJON, CA 92021
Student in an Organized Health Care Education/Training Program
1664 BROADWAY
EL CAJON, CA 92021
Student in an Organized Health Care Education/Training Program
1664 BROADWAY, 142
EL CAJON, CA 92021

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 Tavolazzi's NPI number?

The NPI number for Marisa Tavolazzi is 1952958043. It was assigned to this individual provider in the NPPES registry on August 22, 2019.

Where is Marisa Tavolazzi located?

Marisa Tavolazzi practices at 1664 Broadway, El Cajon, CA 92021. The listed phone number is (619) 579-8685.

What is Marisa Tavolazzi's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Marisa Tavolazzi was last updated on August 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.