Active NPI 1104525880 Individual Practitioner Female Practitioner

Marissa Ann Widener , LPC

Counselor - Professional • Phoenix, AZ

Professional Overview & Biography Verified Profile Summary

Marissa Widener, LPC is a registered healthcare professional specializing in Counselor - Professional in Phoenix, AZ. Practice services are available at 3033 N CENTRAL AVE STE 700 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3033 N Central Ave Ste 700

Phoenix, AZ 850122806

Telephone 6022307373

Fax 6026827455

Associated Practice Facility / Clinic

🏢 Denova Collaborative Health, Llc Facility NPI 1982777462

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Phoenix, AZ

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 12.8 Yrs

State Avg: 15.4 Yrs

Regional Practice Density

763 Specialists

Practicing in Phoenix, AZ (3051 Statewide)

Telehealth Adoption Rate

4.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-06-10

Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License AZ LPC-24585

Definition to come...

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

State License AZ LPC-24585

Definition to come...

Secondary Practice Locations

2211 E Highland Ave Ste 205

Phoenix, AZ 850164834

Phone: 8886612742

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Sabrina Solares , LPC

Counselor - Professional

NPI 1003386855

Licensed Professional Counselor

Olivia Abuhl , PA-C

Clinical Nurse Specialist - Psychiatric/Mental Health

NPI 1003539842

Physician Assistant (Certified)

Tekeysha Mack , LMSW

Social Worker

NPI 1003553595

Licensed Master Social Worker

Julie Seifert , LPC

Counselor - Professional

NPI 1003571399

Licensed Professional Counselor

Eric Felber , MA, LPC

Counselor - Professional

NPI 1013240431

Master of Arts, Licensed Professional Counselor

Dr. Amanda Keenhold , DNP, PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1013248699

Doctor of Nursing Practice, Psychiatric-Mental Health Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events

📍

Updated Practice Location June 10, 2026

Registered at 3033 N CENTRAL AVE STE 700, PHOENIX, AZ 850122806 (Tel: 6022307373)

📍

Updated Business Mailing Address June 10, 2026

Registered at 3101 N CENTRAL AVE STE 550, PHOENIX, AZ 850122635 (Tel: 6022307373)

👤

Provider Name / Credentials Updated June 10, 2026

Recorded as MARISSA WIDENER, LPC

📍

Updated Practice Location January 30, 2026

Registered at 2211 E HIGHLAND AVE STE 205, PHOENIX, AZ 850164834 (Tel: 8886612742)

📍

Updated Business Mailing Address January 30, 2026

Registered at 1 N LA SALLE ST STE 1450, CHICAGO, IL 606024351 (Tel: 3125789990)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 30, 2026

Counselor (License #LPC-24585 in AZ)

✅

NPI Profile Active March 01, 2023

NPI status registered as active in NPPES database

📍

Updated Practice Location March 01, 2023

Registered at 101 N 1ST AVE STE 2310, PHOENIX, AZ 850031902 (Tel: 8886612742)

📍

Updated Business Mailing Address March 01, 2023

Registered at 300 W ADAMS ST STE 514, CHICAGO, IL 606065108 (Tel: 3125789990)

👤

Provider Name / Credentials Updated March 01, 2023

Recorded as MARISSA WIDENER, MC, LAC

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 01, 2023

Counselor (License #LAC-21828 in AZ)

🟢

Initial NPI Registration & Enumeration March 01, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104525880

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 01, 2023

Last Update: June 10, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3101 N Central Ave Ste 550

Phoenix, AZ 850122635

Phone: 6022307373

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.