Marisa Distefano, LPC
Counselor, Mental Health in Ridgewood, New Jersey
1720546260- Practice location
- 172 Franklin Ave Ste 4B, Ridgewood, NJ 07450-3229
- Phone
- 201-446-4669
- Fax
- —
- Last updated
- December 27, 2024
Marisa Distefano is a Counselor, Mental Health based in Ridgewood, NJ. Marisa Distefano practices in Ridgewood, NJ and has the professional credentials of LPC. The NPI Number for Marisa Distefano is 1720546260 and holds a License No. 37PC00661500 (NJ). The current practice location address for Marisa Distefano is 172 Franklin Ave Ste 4B, Ridgewood, NJ 07450-3229 and can be reached out via phone at 201-446-4669.
Provider Profile Details
- NPI Number
- 1720546260
- Provider Name
- Marisa Distefano
- Credential
- LPC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 172 Franklin Ave Ste 4B, Ridgewood, NJ 07450-3229
- Phone Number
- 201-446-4669
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- March 4, 2019
- Last Update Date
- December 27, 2024
- Certification Date
- December 27, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 172 Franklin Ave Ste 4B
Ridgewood, NJ 07450-3229 - City
- Ridgewood
- State
- New Jersey
- Zip
- 07450-3229
- Phone Number
- 201-446-4669
Provider Business Mailing Address Details
- Address
- 172 Franklin Ave Ste 4B
Ridgewood, NJ 07450-3229 - City
- Ridgewood
- State
- NJ
- Zip
- 07450-3229
- Phone Number
- 201-446-4669
License Information
- License Number
- 37PC00661500
- License State
- NJ
- Taxonomy
- Counselor, Mental Health · 101YM0800X · Primary
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 Marisa Distefano, LPC?
The NPI number of Marisa Distefano, LPC is 1720546260. It was assigned on March 4, 2019 and is currently active in the NPPES registry.
What is the specialty of Marisa Distefano, LPC?
Marisa Distefano, LPC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NJ under license number 37PC00661500.
Where does Marisa Distefano, LPC practice?
The practice location is 172 Franklin Ave Ste 4B, Ridgewood, NJ 07450-3229. The office can be reached at 201-446-4669 (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 1720546260 directly on the NPPES registry website.