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

Individual provider Professional Counselor · NPI 1639957004

Marissa Anne Smook, LPCC is a Mental Health Counselor in Fridley, Minnesota. Qualified in 2020, 6 years ago. Practices with Nystrom and Associates Ltd, a 617-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
6
Licensed in
MN
In the registry since
2023
What do these letters mean?
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.

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Practice location Address checks out

7954 University Ave NE
Fridley, MN 55432-1860
Phone: (763) 780-3036
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 10729 Town Square Dr Ne Ste 120, Blaine, MN 55449-7923 — (763) 343-9010

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence CC04025 (MN)

Record details

NPI number1639957004
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPCC
Sole proprietorNo
NPI enumeratedSeptember 18, 2023
Last updated in NPPESMarch 5, 2025
Certification dateMarch 5, 2025

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Nystrom And Associates Ltd — 617 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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