Marsa Nicole Mitchell
Counselor, Mental Health in San Diego, CA. Individual provider (NPI-1).
NPI number1295573418
StatusActive
Last updated in NPPESJul 20, 2024
Details
- NPI
- 1295573418
- Entity type
- Individual (NPI-1)
- Name
- Marsa Nicole Mitchell
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 20, 2024
- Certification date
- Jul 20, 2024
- Last updated
- Jul 20, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
734 10th AveSan Diego, CA 92101-6502
Phone 619-239-4663 · Fax 619-239-0345
Mailing address
734 10th AveSan Diego, CA 92101-6502
Phone 619-239-4663 · Fax 619-239-0345
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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