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

Miss. Marisa Ausborn Wizeman, MS

Individual provider Mental Health Counselor · NPI 1104105543

Miss. Marisa Ausborn Wizeman, MS is a Mental Health Counselor in Bath, New York. Licensed in New York. Registered with an NPI since 2011.

Licensed in
NY
In the registry since
2011
What do these letters mean?
MS — Master of Science
A graduate science degree.

See every abbreviation used in this directory →

Practice location Address checks out

115 Liberty St
Bath, NY 14810-1508
Phone: (607) 382-2525
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 005318 (NY)

Record details

NPI number1104105543
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS
Sole proprietorNo
NPI enumeratedAugust 16, 2011
Last updated in NPPESNovember 13, 2025
Certification dateNovember 13, 2025

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