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

Marisa Mancini Rothrock

Individual provider Professional Counselor · NPI 1174024988

Marisa Mancini Rothrock is a Mental Health Counselor in Albuquerque, New Mexico. Qualified in 2017, 9 years ago. Accepts Medicare assignment and offers telehealth. Licensed in New Mexico.

Years since qualifying
9
Licensed in
NM
In the registry since
2018

Practice location Address checks out

7850 Jefferson St NE Ste 300
Albuquerque, NM 87109-4314
Phone: (505) 884-1114
Fax: (505) 884-3004
Show map & directions

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

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence CCMH0222441 (NM)

Record details

NPI number1174024988
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 27, 2018
Last updated in NPPESApril 19, 2023
Certification dateApril 19, 2023

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Albuquerque