MARISA MARTIN (LPC, LMHC) – Mental Health Counselor, NPI 1992354963

MARISA MARTIN (LPC, LMHC) is a healthcare provider. based in Mcminnville, Oregon. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPC, LMHC. They hold a License No. C6883 (OR). The NPI Number for MARISA MARTIN (LPC, LMHC) is 1992354963

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
MARISA MARTIN (LPC, LMHC)
NPI
1992354963
Phone
(503) 434-7462
Address
420 NE 5TH ST
Enumeration Date
11 September 2019
Last Update Date
27 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2537527320
Graduation Year
1998 (28 years ago)
PAC ID
3678912854
Group Practice PAC ID
7719975085
Professional Enrollment ID
I20240420000198
Address ID
WA980019772FE33930SXXX401
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:6State licenses:2Digital endpointsOther names

1,181 MENTAL HEALTH COUNSELOR in OR

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Provider Addresses for MARISA MARTIN (LPC, LMHC)

  • 420, Northeast 5th Street, McMinnville, Yamhill County, Oregon, 97128, United States

    MCMINNVILLE, OR 971284603

    Phone: (503) 434-7462

    Type: Mailing

  • 1500 NW Bethany Blvd Ste 320

    Beaverton, OR 970065238

    Phone: (503) 567-3260

    Type: Location

  • 33930 Weyerhaeuser Way S Ste 220

    Federal Way, WA 980019772

    Phone: (253) 752-7320

    Type: Location

  • 13925 INTERURBAN AVE S STE 120

    TUKWILA, WA 981685718

    Phone: (206) 580-7275

    Type: Location

  • 4115 COUNTRY CLUB DR NE

    TACOMA, WA 984224621

    Phone: (206) 661-0599

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-05-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240420000198IMental Health CounselorWATBD
I20250521002763IMental Health CounselorORTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97128)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7719975085View full group profile
NameSpecialtyState
Nurse PractitionerOR
-WA
-OR
Clinical PsychologistOR
Clinical Social WorkerOR
Mental Health CounselorTX
Clinical Social WorkerCA
Clinical Social WorkerOR
Mental Health CounselorOR
-OR

Reviews

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Frequently asked questions

What unique ID ties claims to MARISA MARTIN (LPC, LMHC)?
NPI 1992354963 is assigned to MARISA MARTIN (LPC, LMHC) under the national enumeration system.
Is MARISA MARTIN (LPC, LMHC) currently active in the NPI registry?
CMS-published data lists MARISA MARTIN (LPC, LMHC) as an active registrant.
What kind of provider is MARISA MARTIN (LPC, LMHC)?
The page reflects Mental Health Counselor for MARISA MARTIN (LPC, LMHC). Clinical services aligned with this taxonomy classification.
Where is MARISA MARTIN (LPC, LMHC)'s primary listing?
We display Mcminnville, Oregon because that is what the record indicates for MARISA MARTIN (LPC, LMHC).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.