MARISSA EVANS CPSW – NPI #1295367324
Peer Specialist

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

MARISSA EVANS is a peer specialist located in ALBUQUERQUE, NM. NPPES has assigned the NPI number 1295367324 to MARISSA EVANS on February 06, 2020. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 175T00000X from the Health Care Provider Taxonomy code set, which is classified as Peer Specialist.

See the complete NPI profile for MARISSA EVANS below.

NPI Profile for
MARISSA EVANS

NPI Number
1295367324
Enumeration Date

(more than 6 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
MARISSA EVANS
Credentials
CPSW
Primary location
9201 MONTGOMERY BLVD NE BLDG 5
ALBUQUERQUE, NM 87111-2468
Phone: (505) 217-1717 Fax:
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Feb 06, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for MARISSA EVANS

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERCERTIFICATE NUMBERNM1036
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
175T00000X
- Peer Specialist (Primary)
NM 1036

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
ALBUQUERQUE
Endpoint type
CONNECT URL
Endpoint Description
ALBUQUERQUE
Content Type
OTHER
Affiliation
N
Endpoint Location
9201 MONTGOMERY BLVD NE BLDG 5,
ALBUQUERQUE, NM 77025-1669