Gustavo B Mejia, MA, LPC, LCADC
Counselor, Professional in Englewood, New Jersey
1639295801- Practice location
- 61 Grand Ave, 3RD Floor, Englewood, NJ 07631-3572
- Phone
- 201-245-1159
- Fax
- 201-541-8100
- Last updated
- August 28, 2011
Gustavo Bernardo Mejia is a Counselor, Professional based in Englewood, NJ. Gustavo Bernardo Mejia practices in Englewood, NJ and has the professional credentials of MA, LPC, LCADC. The NPI Number for Gustavo Bernardo Mejia is 1639295801 and holds a License No. 37PC00396500 (NJ). The current practice location address for Gustavo Bernardo Mejia is 61 Grand Ave, 3RD Floor, Englewood, NJ 07631-3572 and can be reached out via phone at 201-245-1159 and via fax at 201-541-8100.
Provider Profile Details
- NPI Number
- 1639295801
- Provider Name
- Gustavo Bernardo Mejia
- Credential
- MA, LPC, LCADC
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 61 Grand Ave, 3RD Floor, Englewood, NJ 07631-3572
- Phone Number
- 201-245-1159
- Fax Number
- 201-541-8100
- Primary Taxonomy
- Counselor, Professional · 101YP2500X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- March 21, 2007
- Last Update Date
- August 28, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 61 Grand Ave
3RD Floor
Englewood, NJ 07631-3572 - City
- Englewood
- State
- New Jersey
- Zip
- 07631-3572
- Phone Number
- 201-245-1159
- Fax Number
- 201-541-8100
Provider Business Mailing Address Details
- Address
- 150 Tryon Ave Apt E1
Englewood, NJ 07631-1670 - City
- Englewood
- State
- NJ
- Zip
- 07631-1670
- Phone Number
- 201-245-1159
- Fax Number
- 201-541-8100
License Information
- License Number (1)
- 37PC00396500
- License State (1)
- NJ
- Taxonomy (1)
- Counselor, Professional · 101YP2500X · Primary
- License Number (2)
- 37LC00170800
- License State (2)
- NJ
- Taxonomy (2)
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Gustavo B Mejia, MA, LPC, LCADC?
The NPI number of Gustavo B Mejia, MA, LPC, LCADC is 1639295801. It was assigned on March 21, 2007 and is currently active in the NPPES registry.
What is the specialty of Gustavo B Mejia, MA, LPC, LCADC?
Gustavo B Mejia, MA, LPC, LCADC is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in NJ under license number 37PC00396500.
Where does Gustavo B Mejia, MA, LPC, LCADC practice?
The practice location is 61 Grand Ave, 3RD Floor, Englewood, NJ 07631-3572. The office can be reached at 201-245-1159 (phone) or 201-541-8100 (fax).
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 1639295801 directly on the NPPES registry website.