| Marisa Mancini Rothrock, | |
|
7850 Jefferson St Ne Ste 300, Albuquerque, NM 87109-4314 | |
| (505) 884-1114 | |
| (505) 884-3004 |
| Full Name | Marisa Mancini Rothrock |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 8 Years |
| Location | 7850 Jefferson St Ne Ste 300, Albuquerque, New Mexico |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174024988 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | CCMH0222441 (New Mexico) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sage Neuroscience Center Inc | 5395840383 | 15 |
| Entity Name | Sage Neuroscience Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578644415 PECOS PAC ID: 5395840383 Enrollment ID: O20070419000586 |
| Mailing Address | Practice Location Address |
|---|---|
| Marisa Mancini Rothrock, 1814 Don Felipe Rd Sw, Albuquerque, NM 87105-6654 Ph: (505) 321-0906 | Marisa Mancini Rothrock, 7850 Jefferson St Ne Ste 300, Albuquerque, NM 87109-4314 Ph: (505) 884-1114 |
Ms. Lori M Ortiz, M.A. LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 University Of Nm Bldg73, Msc-06-3870, Albuquerque, NM 87131 Phone: 505-277-3136 Fax: 505-277-2020 | |
Cynthia Marie Taylor, M.A., LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1218 Griegos Rd Nw, Albuquerque, NM 87107 Phone: 505-345-8471 | |
Mrs. Shelley Sue Stisser, LPC Counselor Medicare: Medicare Enrolled Practice Location: 8205 Spain Rd Ne Ste 106, Albuquerque, NM 87109 Phone: 505-856-0300 Fax: 505-856-7946 | |
Hillary Carman, B.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1218 Griegos Rd Nw, Albuquerque, NM 87107 Phone: 505-345-8471 | |
Ms. Ramona Floyd, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1218 Griegos Rd Nw, Albuquerque, NM 87107 Phone: 505-345-8471 | |
Mrs. Rachel Offineer Roberts, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10511 Golf Course Rd Nw, Suite 102, Albuquerque, NM 87114 Phone: 505-717-1155 Fax: 505-717-1473 | |
Julie Marie Raborn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 600 1st St Nw, Suite 200, Albuquerque, NM 87102 Phone: 505-224-9124 Fax: 505-847-9503 |