Active NPIIndividual providerSole proprietor

Conzuelo Leiva, LAC

Counselor, Professional in Guttenberg, New Jersey

NPI Number1164058442
Practice location
127 69TH St, Guttenberg, NJ 07093-3339
Fax
—
Last updated
October 6, 2026

Conzuelo Leiva is a Counselor, Professional based in Guttenberg, NJ. Conzuelo Leiva practices in Guttenberg, NJ and has the professional credentials of LAC. The NPI Number for Conzuelo Leiva is 1164058442 and holds a License No. 37AC00350200 (NJ). The current practice location address for Conzuelo Leiva is 127 69TH St, Guttenberg, NJ 07093-3339 and can be reached out via phone at 551-274-3876.

Provider Profile Details

NPI Number
1164058442
Provider Name
Conzuelo Leiva
Credential
LAC
Provider Entity Type
Individual
Gender
Female
Address
127 69TH St, Guttenberg, NJ 07093-3339
Phone Number
551-274-3876
Primary Taxonomy
Counselor, Professional · 101YP2500X
Sole Proprietor
Yes
Provider Enumeration Date
March 18, 2020
Last Update Date
October 6, 2026
Certification Date
October 6, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
127 69TH St
Guttenberg, NJ 07093-3339
Zip
07093-3339
Phone Number
551-274-3876
Guttenberg, NJ 07093Get directions →

Provider Business Mailing Address Details

Address
127 69TH St
Guttenberg, NJ 07093-3339
City
Guttenberg
State
NJ
Zip
07093-3339
Phone Number
551-274-3876

License Information

License Number (1)
37AC00350200
License State (1)
NJ
Taxonomy (1)
Counselor, Mental Health · 101YM0800X
License Number (2)
37PC00872600
License State (2)
NJ
Taxonomy (2)
Counselor, Professional · 101YP2500X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Counselor, Professional providers near Guttenberg, NJ

View all Counselor, Professional providers in Guttenberg →

Frequently Asked Questions

What is the NPI number of Conzuelo Leiva, LAC?

The NPI number of Conzuelo Leiva, LAC is 1164058442. It was assigned on March 18, 2020 and is currently active in the NPPES registry.

What is the specialty of Conzuelo Leiva, LAC?

Conzuelo Leiva, LAC is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in NJ under license number 37AC00350200.

Where does Conzuelo Leiva, LAC practice?

The practice location is 127 69TH St, Guttenberg, NJ 07093-3339. The office can be reached at 551-274-3876 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164058442 directly on the NPPES registry website.

Browse related providers