Active NPIIndividual providerSole proprietor

Alexis M Mardosa, LPC, ATR-BC

Counselor, Mental Health in Sussex, New Jersey

NPI Number1730756016
Practice location
113 State Rt 284, Sussex, NJ 07461-3414
Fax
—
Last updated
June 7, 2021

Alexis Megan Mardosa is a Counselor, Mental Health based in Sussex, NJ. Alexis Megan Mardosa practices in Sussex, NJ and has the professional credentials of LPC, ATR-BC. The NPI Number for Alexis Megan Mardosa is 1730756016 and holds a License No. 37PC00747600 (NJ). The current practice location address for Alexis Megan Mardosa is 113 State Rt 284, Sussex, NJ 07461-3414 and can be reached out via phone at 973-294-6339.

Provider Profile Details

NPI Number
1730756016
Provider Name
Alexis Megan Mardosa
Credential
LPC, ATR-BC
Provider Entity Type
Individual
Gender
Female
Address
113 State Rt 284, Sussex, NJ 07461-3414
Phone Number
973-294-6339
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Provider Enumeration Date
June 7, 2021
Last Update Date
June 7, 2021
Certification Date
February 5, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
113 State Rt 284
Sussex, NJ 07461-3414
City
Sussex
Zip
07461-3414
Phone Number
973-294-6339
Sussex, NJ 07461Get directions →

Provider Business Mailing Address Details

Address
113 State Rt 284
Sussex, NJ 07461-3414
City
Sussex
State
NJ
Zip
07461-3414
Phone Number
973-294-6339

License Information

License Number
37PC00747600
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 Alexis M Mardosa, LPC, ATR-BC?

The NPI number of Alexis M Mardosa, LPC, ATR-BC is 1730756016. It was assigned on June 7, 2021 and is currently active in the NPPES registry.

What is the specialty of Alexis M Mardosa, LPC, ATR-BC?

Alexis M Mardosa, LPC, ATR-BC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NJ under license number 37PC00747600.

Where does Alexis M Mardosa, LPC, ATR-BC practice?

The practice location is 113 State Rt 284, Sussex, NJ 07461-3414. The office can be reached at 973-294-6339 (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 1730756016 directly on the NPPES registry website.

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