Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Marlyssa Rae Fillmore, PHD

Individual provider Counseling Psychologist · NPI 1831741461

Dr. Marlyssa Rae Fillmore, PHD is a Clinical Psychologist in Columbus, Indiana. Qualified in 2019, 7 years ago. Practices with Be Authentic Indy LLC, an 8-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Indiana.

Years since qualifying
7
Licensed in
IN
In the registry since
2019
Specialties on file
4
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

4980 Hunters Run
Columbus, IN 47201-8499
Phone: (812) 552-1499
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence 20043326A (IN)
Counseling Psychologist Taxonomy 103TC1900X · Licence 20043326A (IN)
School Psychologist Taxonomy 103TS0200X · Licence 10228724 (IN)
Mental Health Counselor Taxonomy 101YM0800X · Licence 20043326A (IN)

Record details

NPI number1831741461
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedJuly 13, 2019
Last updated in NPPESOctober 23, 2024
Certification dateOctober 21, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Be Authentic Indy Llc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services