Active NPIIndividual providerSole proprietor

Gregory Bardzell, LAC

Counselor, Mental Health in Hoboken, New Jersey

NPI Number1497568356
Practice location
63A 8TH St, Hoboken, NJ 07030-5056
Fax
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Last updated
January 27, 2025

Gregory Bardzell is a Counselor, Mental Health based in Hoboken, NJ. Gregory Bardzell practices in Hoboken, NJ and has the professional credentials of LAC. The NPI Number for Gregory Bardzell is 1497568356 and holds a License No. 37AC00840300 (NJ). The current practice location address for Gregory Bardzell is 63A 8TH St, Hoboken, NJ 07030-5056 and can be reached out via phone at 201-541-8600.

Provider Profile Details

NPI Number
1497568356
Provider Name
Gregory Bardzell
Credential
LAC
Provider Entity Type
Individual
Gender
Male
Address
63A 8TH St, Hoboken, NJ 07030-5056
Phone Number
201-541-8600
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Provider Enumeration Date
January 27, 2025
Last Update Date
January 27, 2025
Certification Date
January 27, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
63A 8TH St
Hoboken, NJ 07030-5056
Zip
07030-5056
Phone Number
201-541-8600
Hoboken, NJ 07030Get directions →

Provider Business Mailing Address Details

Address
245 Passaic Ave
Passaic, NJ 07055
City
Passaic
State
NJ
Zip
07055
Phone Number
201-704-3915

License Information

License Number
37AC00840300
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 Gregory Bardzell, LAC?

The NPI number of Gregory Bardzell, LAC is 1497568356. It was assigned on January 27, 2025 and is currently active in the NPPES registry.

What is the specialty of Gregory Bardzell, LAC?

Gregory Bardzell, LAC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NJ under license number 37AC00840300.

Where does Gregory Bardzell, LAC practice?

The practice location is 63A 8TH St, Hoboken, NJ 07030-5056. The office can be reached at 201-541-8600 (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 1497568356 directly on the NPPES registry website.

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