MARISSA ANN WALSH (LMHC) – Mental Health Counselor, NPI 1043886294

MARISSA ANN WALSH (LMHC) is a healthcare provider. based in Providence, Rhode Island. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LMHC. The NPI Number for MARISSA ANN WALSH (LMHC) is 1043886294

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
MARISSA ANN WALSH (LMHC)
NPI
1043886294
Phone
Not provided
Address
530 N MAIN ST
Enumeration Date
28 May 2021
Last Update Date
16 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4012742500
Graduation Year
2021 (5 years ago)
PAC ID
3577909332
Group Practice PAC ID
9739080292
Professional Enrollment ID
I20240314003243
Address ID
RI029045762PR530XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness85
Years active:5State licenses:0Digital endpointsOther names

340 MENTAL HEALTH COUNSELOR in RI

Provider Addresses for MARISSA ANN WALSH (LMHC)

  • 530 N MAIN ST

    PROVIDENCE, RI 029045762

    Phone:

    Mailing address matches the actual address.

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: 2024-03-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20240314003243IMental Health CounselorRITBD

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 02904)

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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: 9739080292View full group profile
NameSpecialtyState
Nurse PractitionerMA
P S Y C H I A T R YRI
Clinical Social WorkerRI
Mental Health CounselorRI
Mental Health CounselorRI
-RI
-RI
Nurse PractitionerMA
Clinical Social WorkerRI
Clinical Social WorkerRI

Reviews

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Frequently asked questions

Can I cross-check MARISSA ANN WALSH (LMHC) using NPI 1043886294?
NPI 1043886294 belongs to MARISSA ANN WALSH (LMHC); compare other details if you need extra assurance.
Is MARISSA ANN WALSH (LMHC) still an active registrant?
MARISSA ANN WALSH (LMHC) carries an active NPI according to the public dataset.
What expertise is attributed to MARISSA ANN WALSH (LMHC)?
MARISSA ANN WALSH (LMHC)'s specialty line reads Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Is MARISSA ANN WALSH (LMHC) located near Providence?
MARISSA ANN WALSH (LMHC) currently maps to Providence, Rhode Island in this extract.
Can I trust this NPI listing for MARISSA ANN WALSH (LMHC)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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