Active NPIIndividual providerSole proprietor

Jordyn L Mastrodomenico, LPC LCADC

Counselor, Addiction (Substance Use Disorder) in Ramsey, New Jersey

NPI Number1861149205
Practice location
19 Spear RD Ste 303, Ramsey, NJ 07446-1223
Fax
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Last updated
July 2, 2025

Jordyn L Mastrodomenico is a Counselor, Addiction (Substance Use Disorder) based in Ramsey, NJ. Jordyn L Mastrodomenico practices in Ramsey, NJ and has the professional credentials of LPC LCADC. The NPI Number for Jordyn L Mastrodomenico is 1861149205 and holds a License No. 37AC00488900 (NJ). The current practice location address for Jordyn L Mastrodomenico is 19 Spear RD Ste 303, Ramsey, NJ 07446-1223 and can be reached out via phone at 551-427-6540.

Provider Profile Details

NPI Number
1861149205
Provider Name
Jordyn L Mastrodomenico
Credential
LPC LCADC
Provider Entity Type
Individual
Gender
Female
Address
19 Spear RD Ste 303, Ramsey, NJ 07446-1223
Phone Number
551-427-6540
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
Yes
Provider Enumeration Date
March 6, 2022
Last Update Date
July 2, 2025
Certification Date
July 2, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
19 Spear RD Ste 303
Ramsey, NJ 07446-1223
City
Ramsey
Zip
07446-1223
Phone Number
551-427-6540
Ramsey, NJ 07446Get directions →

Provider Business Mailing Address Details

Address
830 Morris Tpke
Short Hills, NJ 07078-2625
City
Short Hills
State
NJ
Zip
07078-2625

License Information

License Number
37AC00488900
License State
NJ
Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X · 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 Jordyn L Mastrodomenico, LPC LCADC?

The NPI number of Jordyn L Mastrodomenico, LPC LCADC is 1861149205. It was assigned on March 6, 2022 and is currently active in the NPPES registry.

What is the specialty of Jordyn L Mastrodomenico, LPC LCADC?

Jordyn L Mastrodomenico, LPC LCADC is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in NJ under license number 37AC00488900.

Where does Jordyn L Mastrodomenico, LPC LCADC practice?

The practice location is 19 Spear RD Ste 303, Ramsey, NJ 07446-1223. The office can be reached at 551-427-6540 (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 1861149205 directly on the NPPES registry website.

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