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

Marissa Mae Ilac, LCPC

Individual provider Mental Health Counselor · NPI 1497339493

Marissa Mae Ilac, LCPC is a Mental Health Counselor in Polson, Montana. Qualified in 2019, 7 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Montana.

Years since qualifying
7
Licensed in
MT
In the registry since
2021
What do these letters mean?
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

402 1st St E #205
Polson, MT 59860
Phone: (406) 260-1716
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence BBH-LCPC-LIC-48659 (MT)

Record details

NPI number1497339493
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCPC
Sole proprietorNo
NPI enumeratedMay 6, 2021
Last updated in NPPESMay 6, 2021
Certification dateMay 3, 2021

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Polson