Active NPIIndividual provider

Nicole Bongiovanni, MA, LAC

Counselor, Mental Health in Lyndhurst, New Jersey

NPI Number1184317646
Practice location
516 Valley Brook Ave, Lyndhurst, NJ 07071-1930
Fax
—
Last updated
May 31, 2023

Nicole Bongiovanni is a Counselor, Mental Health based in Lyndhurst, NJ. Nicole Bongiovanni practices in Lyndhurst, NJ and has the professional credentials of MA, LAC. The NPI Number for Nicole Bongiovanni is 1184317646 and holds a License No. 37AC00601700 (NJ). The current practice location address for Nicole Bongiovanni is 516 Valley Brook Ave, Lyndhurst, NJ 07071-1930 and can be reached out via phone at 201-935-3322.

Provider Profile Details

NPI Number
1184317646
Provider Name
Nicole Bongiovanni
Credential
MA, LAC
Provider Entity Type
Individual
Gender
Female
Address
516 Valley Brook Ave, Lyndhurst, NJ 07071-1930
Phone Number
201-935-3322
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Provider Enumeration Date
May 31, 2023
Last Update Date
May 31, 2023
Certification Date
May 31, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
516 Valley Brook Ave
Lyndhurst, NJ 07071-1930
Zip
07071-1930
Phone Number
201-935-3322
Lyndhurst, NJ 07071Get directions →

Provider Business Mailing Address Details

Address
516 Valley Brook Ave
Lyndhurst, NJ 07071-1930
City
Lyndhurst
State
NJ
Zip
07071-1930
Phone Number
201-935-3322

License Information

License Number
37AC00601700
License State
NJ
Taxonomy
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

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

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Frequently Asked Questions

What is the NPI number of Nicole Bongiovanni, MA, LAC?

The NPI number of Nicole Bongiovanni, MA, LAC is 1184317646. It was assigned on May 31, 2023 and is currently active in the NPPES registry.

What is the specialty of Nicole Bongiovanni, MA, LAC?

Nicole Bongiovanni, MA, LAC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NJ under license number 37AC00601700.

Where does Nicole Bongiovanni, MA, LAC practice?

The practice location is 516 Valley Brook Ave, Lyndhurst, NJ 07071-1930. The office can be reached at 201-935-3322 (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 1184317646 directly on the NPPES registry website.

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