Active NPIIndividual provider

Ms. Leyla A Mata, MA, EDM, LPC

Counselor, Professional in Fort Lee, New Jersey

NPI Number1366730970
Practice location
520 Main St Ste 204, Fort Lee, NJ 07024-4501
Fax
—
Last updated
July 17, 2011

Leyla Amanda Mata is a Counselor, Professional based in Fort Lee, NJ. Leyla Amanda Mata practices in Fort Lee, NJ and has the professional credentials of MA, EDM, LPC. The NPI Number for Leyla Amanda Mata is 1366730970 and holds a License No. 37PC00413800 (NJ). The current practice location address for Leyla Amanda Mata is 520 Main St Ste 204, Fort Lee, NJ 07024-4501 and can be reached out via phone at 201-397-5662.

Provider Profile Details

NPI Number
1366730970
Provider Name
Leyla Amanda Mata
Credential
MA, EDM, LPC
Provider Entity Type
Individual
Gender
Female
Address
520 Main St Ste 204, Fort Lee, NJ 07024-4501
Phone Number
201-397-5662
Primary Taxonomy
Counselor, Professional · 101YP2500X
Sole Proprietor
No
Provider Enumeration Date
July 17, 2011
Last Update Date
July 17, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
520 Main St Ste 204
Fort Lee, NJ 07024-4501
Zip
07024-4501
Phone Number
201-397-5662
Fort Lee, NJ 07024Get directions →

Provider Business Mailing Address Details

Address
520 Main St Ste 204
Fort Lee, NJ 07024-4501
City
Fort Lee
State
NJ
Zip
07024-4501
Phone Number
201-397-5662

License Information

License Number
37PC00413800
License State
NJ
Taxonomy
Counselor, Professional · 101YP2500X · 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 Ms. Leyla A Mata, MA, EDM, LPC?

The NPI number of Ms. Leyla A Mata, MA, EDM, LPC is 1366730970. It was assigned on July 17, 2011 and is currently active in the NPPES registry.

What is the specialty of Ms. Leyla A Mata, MA, EDM, LPC?

Ms. Leyla A Mata, MA, EDM, LPC is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in NJ under license number 37PC00413800.

Where does Ms. Leyla A Mata, MA, EDM, LPC practice?

The practice location is 520 Main St Ste 204, Fort Lee, NJ 07024-4501. The office can be reached at 201-397-5662 (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 1366730970 directly on the NPPES registry website.

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