Marissa Brandenburg, LPC is a
Counselor - Mental Health based in Fruitport, Michigan. Marissa Brandenburg is licensed to practice in Michigan (license number 6401014770) and her current practice location is
3255 Pontaluna Rd, Fruitport, Michigan. She can be reached at her office (for appointments etc.) via phone at
(231) 733-6720.
NPI number for Marissa Brandenburg is 1114309796 and her current mailing address is 2700 Baker St Fl 3, Muskegon, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1114309796.
Healthcare Provider's Profile
Full Name | Marissa Brandenburg |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 3255 Pontaluna Rd, Fruitport, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1114309796
- Provider Enumeration Date: 06/19/2015
- Last Update Date: 01/02/2022
Medical Identifiers
Medical identifiers for Marissa Brandenburg such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114309796 | NPI | - | NPPES |
1114309796 | Medicaid | MI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 6401014770 (Michigan) | Primary |
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. Marissa Brandenburg is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Marissa Brandenburg, LPC 2700 Baker St Fl 3, Muskegon, MI 49444-2157 Ph: (231) 737-1335 | Marissa Brandenburg, LPC 3255 Pontaluna Rd, Fruitport, MI 49415 Ph: (231) 733-6720 |
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