Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1073027678 Individual Practitioner Female Practitioner

Marissa Moore , LPCC

Counselor - Professional • Sandusky, OH

Professional Overview & Biography Verified Profile Summary

Marissa Moore, LPCC is a registered healthcare professional specializing in Counselor - Professional in Sandusky, OH. Practice services are available at 1925 HAYES AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1925 Hayes Ave

Sandusky, OH 44870

Telephone 4195575177
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Sandusky, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.8 Yrs
State Avg: 15.9 Yrs
Regional Practice Density
29 Specialists

Practicing in Sandusky, OH (6923 Statewide)

Telehealth Adoption Rate
10.3% 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: 2020-12-14
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License OH E.2001980

Definition to come...

Counselor

NUCC Taxonomy Code: 101Y00000X

State License OH C.1700197

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Case Manager/Care Coordinator

NUCC Taxonomy Code: 171M00000X

State License OH CDCA.150752

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
3293725 (OH)

Secondary Practice Locations

7901 Detroit Ave

Cleveland, OH 441022828

Phone: 2166347500

Practice Associates & Co-Workers

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

40 Associated Practitioners
Ada Bloom , LISW

Social Worker - Clinical

NPI 1003146853

Licensed Independent Social Worker

Curstin Hackenburg

Case Manager/Care Coordinator

NPI 1003701202
Gavin Winters

Counselor - Mental Health

NPI 1013520485
Brooke Polak

Case Manager/Care Coordinator

NPI 1013746619
Alissa Harvey

Case Manager/Care Coordinator

NPI 1023660271
NPI 1023815362

Licensed Social Worker

Career & Practice History Timeline

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

13 Historical Events
👤
Provider Name / Credentials Updated December 14, 2020

Recorded as MARISSA MOORE, LPCC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 14, 2020

Counselor (License #C.1700197 in OH)

📍
Updated Practice Location August 15, 2018

Registered at 1925 HAYES AVE, SANDUSKY, OH 44870 (Tel: 4195575177)

📍
Updated Business Mailing Address August 15, 2018

Registered at 1925 HAYES AVE, SANDUSKY, OH 448704737 (Tel: 4195575177)

👤
Provider Name / Credentials Updated August 15, 2018

Recorded as MARISSA HARNED, LPC,CDCA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 15, 2018

Case Manager/Care Coordinator (License #CDCA.150752 in OH)

NPI Profile Active November 20, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location November 20, 2017

Registered at 7901 DETROIT AVE, CLEVELAND, OH 441022828 (Tel: 2166347500)

📍
Updated Business Mailing Address November 20, 2017

Registered at 6753 STATE RD, PARMA, OH 441344517 (Tel: 4408435544)

👤
Provider Name / Credentials Updated November 20, 2017

Recorded as MARISSA HARNED, CT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 20, 2017

Case Manager/Care Coordinator (License #CDCA.150752 in OH)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 20, 2017

Counselor (License #C.1700197 in OH)

🟢
Initial NPI Registration & Enumeration November 20, 2017

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: 1073027678
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 20, 2017
Last Update: December 14, 2020
Sole Proprietor: No

Mailing Address

1925 Hayes Ave

Sandusky, OH 448704737

Phone: 4195575177

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.