Marisa Martin, LPC, LMHC in Tukwila, WA - Medicare Counselor Provider

Marisa Martin, LPC, LMHC is a medicare enrolled "Counselor - Mental Health" provider in Tukwila, Washington. Her current practice location is 13925 Interurban Ave S Ste 120, Tukwila, Washington. You can reach out to her office (for appointments etc.) via phone at (206) 580-7275.

Marisa Martin is licensed to practice in Washington (license number LH61339219) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1992354963.

Contact Information

	Marisa Martin, LPC, LMHC
	13925 Interurban Ave S Ste 120, Tukwila, WA 98168-5718
	(206) 580-7275
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Marisa Martin
Gender	Female
Speciality	Counselor - Mental Health
Location	13925 Interurban Ave S Ste 120, Tukwila, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992354963
Provider Enumeration Date: 09/11/2019
Last Update Date: 07/27/2023

Medicare PECOS Information:

PECOS PAC ID: 3678912854
Enrollment ID: I20240420000198

Medical Identifiers

Medical identifiers for Marisa Martin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992354963	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	C6883 (Oregon)	Secondary
101YM0800X	Counselor - Mental Health	LH61339219 (Washington)	Primary
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Marisa Martin allows following entities to bill medicare on her behalf.

Entity Name	Western Psychological And Counseling Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629345731 PECOS PAC ID: 7719975085 Enrollment ID: O20110224000559

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Marisa Martin is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Marisa Martin, LPC, LMHC 4115 Country Club Dr Ne, Tacoma, WA 98422-4621 Ph: (206) 661-0599	Marisa Martin, LPC, LMHC 13925 Interurban Ave S Ste 120, Tukwila, WA 98168-5718 Ph: (206) 580-7275

Reviews and Comments

Counselor in Tukwila, WA

Brandon Leviton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6100 Southcenter Blvd, Tukwila, WA 98188 Phone: 206-444-7800 Fax: 206-444-7810
Sierra Wollen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6400 Southcenter Blvd, Tukwila, WA 98188 Phone: 206-444-3600 Fax: 206-444-3610
Allison Steinberg, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3438 S 148th St, Tukwila, WA 98168 Phone: 206-948-0096
Alexandra Dean, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6400 Southcenter Blvd, Tukwila, WA 98188 Phone: 206-901-2000
Katherine Aileen Crow, Counselor Medicare: Not Enrolled in Medicare Practice Location: 13925 Interurban Ave S Ste 120, Tukwila, WA 98168 Phone: 206-948-0096
Abigail Lindsay, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 13955 Interurban Ave S Ste 120, Tukwila, WA 98168 Phone: 206-948-0096
Ms. Glenda Diann Buchanan, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6100 Southcenter Blvd, Sound Mental Health, 3rd Fl, Tukwila, WA 98188 Phone: 206-302-2200 Fax: 206-302-2210

Marisa Martin, LPC, LMHC - Medicare Counselor in Tukwila, WA