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MIGNOLIA PLACENCIA
NPI 1124616446
Counselor - Professional in Wayne, NJ

Active since January 03, 2021PECOS Enrolled
1401 VALLEY RD, WAYNE, NJ 07470(973) 368-7781 Get Directions Write a Review

NPPES record last updated: January 3, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mignolia Placencia NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIGNOLIA PLACENCIA (NPI 1124616446) is an individual professional provider in Wayne, New Jersey, licensed in New Jersey (37AC00473300) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1124616446
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMIGNOLIA PLACENCIA
Location Address1401 VALLEY RDWayne, NJ 07470-2073
Mailing Address113 Knolls RdBloomingdale, NJ 07403-1513 · (862) 668-1348
Phone(973) 368-7781
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJanuary 3, 2021
NPPES CertifiedJanuary 3, 2021
✔ NPI 1124616446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in NJ · 37AC00473300
1401 VALLEY RD, Wayne, NJ 07470
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mignolia Placencia is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9133614670
PECOS Enrollment IDI20251222001790
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Mignolia Placencia reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bright Path Wellness & Counseling LLC
6.4 mi
Community/Behavioral Health
113 KNOLLS RD
Bloomingdale, NJ 07403
  • Reassigned Medicare billing, New Jersey enrollment
NPI 1992509160 (862) 684-2286

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

IMPLANTED PUMP MANAGEMENT LLC
Home Infusion
1401 VALLEY RD
WAYNE, NJ 07470
Passaic County (201) 475-9635
AYANA COLLADO
Counselor (Professional)
1401 VALLEY RD
WAYNE, NJ 07470
Passaic County (973) 314-2086
MR. GEORGE MICHAEL STAGG PHARMACIST
Pharmacist
1401 VALLEY RD
WAYNE, NJ 07470
Passaic County (888) 822-7428
MRS. JULIANA ARANGO GIL MA, LAC
Counselor (School)
1401 VALLEY RD
WAYNE, NJ 07470
Passaic County (973) 435-6252
ANN ROXAS PHARMD
Pharmacist
1401 VALLEY RD
WAYNE, NJ 07470
Passaic County (201) 475-0500
KATHLEEN BEAZER LSW
Social Worker
1401 VALLEY RD
WAYNE, NJ 07470
Passaic County (973) 632-4708
MS. MICHELLE VERON LSW
Social Worker
1401 VALLEY RD
WAYNE, NJ 07470
Passaic County (973) 368-7781
MRS. VANESSA NOELLE MARULLO M.A., LAC
Counselor
1401 VALLEY RD
WAYNE, NJ 07470
Passaic County (973) 368-7781

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mignolia Placencia's NPI number?

The NPI number for Mignolia Placencia is 1124616446. It was assigned to this individual provider in the NPPES registry on January 3, 2021.

Where is Mignolia Placencia located?

Mignolia Placencia practices at 1401 Valley Rd, Wayne, NJ 07470. The listed phone number is (973) 368-7781.

What is Mignolia Placencia's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Mignolia Placencia enrolled in Medicare?

Yes. Mignolia Placencia is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mignolia Placencia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mignolia Placencia reassigns Medicare benefits to Bright Path Wellness & Counseling LLC (Bloomingdale, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mignolia Placencia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mignolia Placencia was last updated on January 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.