Active NPIIndividual provider

Ellyn Alfonso, MA, LAC

Counselor, Mental Health in Fair Lawn, New Jersey

NPI Number1669961553
Practice location
17-07 Romaine St, Fair Lawn, NJ 07410-2150
Fax
—
Last updated
May 7, 2018

Ellyn Alfonso is a Counselor, Mental Health based in Fair Lawn, NJ. Ellyn Alfonso practices in Fair Lawn, NJ and has the professional credentials of MA, LAC. The NPI Number for Ellyn Alfonso is 1669961553 and holds a License No. 37AC00262300 (NJ). The current practice location address for Ellyn Alfonso is 17-07 Romaine St, Fair Lawn, NJ 07410-2150 and can be reached out via phone at 201-797-2660.

Provider Profile Details

NPI Number
1669961553
Provider Name
Ellyn Alfonso
Credential
MA, LAC
Provider Entity Type
Individual
Gender
Female
Address
17-07 Romaine St, Fair Lawn, NJ 07410-2150
Phone Number
201-797-2660
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Other Names
Ellyn Alejan (Former Name)
Provider Enumeration Date
May 7, 2018
Last Update Date
May 7, 2018
NPI Status
Active

Provider Business Practice Location Address Details

Address
17-07 Romaine St
Fair Lawn, NJ 07410-2150
Zip
07410-2150
Phone Number
201-797-2660
Fair Lawn, NJ 07410Get directions →

Provider Business Mailing Address Details

Address
54 Clifton Blvd
Clifton, NJ 07011-3814
City
Clifton
State
NJ
Zip
07011-3814

License Information

License Number
37AC00262300
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 Ellyn Alfonso, MA, LAC?

The NPI number of Ellyn Alfonso, MA, LAC is 1669961553. It was assigned on May 7, 2018 and is currently active in the NPPES registry.

What is the specialty of Ellyn Alfonso, MA, LAC?

Ellyn Alfonso, MA, LAC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NJ under license number 37AC00262300.

Where does Ellyn Alfonso, MA, LAC practice?

The practice location is 17-07 Romaine St, Fair Lawn, NJ 07410-2150. The office can be reached at 201-797-2660 (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 1669961553 directly on the NPPES registry website.

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