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MARISA P DISTEFANO LPC LLC
NPI 1194532861
Counselor - Mental Health in Ridgewood, NJ

Active since December 16, 2024
172 FRANKLIN AVE STE 4B, RIDGEWOOD, NJ 07450(201) 446-4669 Get Directions Write a Review

NPPES record last updated: December 27, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 27, 2024, Dec 16, 2024 (2 updates tracked since 2024).

About Marisa P Distefano Lpc Llc NPPES

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

MARISA P DISTEFANO LPC LLC (NPI 1194532861) is a healthcare organization registered as a mental health in Ridgewood, New Jersey and active in the NPI registry since December 2024. The organization maintains a secondary practice location in Wyckoff and lists Marisa Distefano, Owner, as its authorized official.

NPPES Registry Identity

NPI1194532861
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameMARISA P DISTEFANO LPC LLC
Location Address172 FRANKLIN AVE STE 4BRidgewood, NJ 07450-3229
Mailing Address172 Franklin Ave Ste 4bRidgewood, NJ 07450-3229 · (201) 446-4669
Phone(201) 446-4669
Organization SubpartNo
Authorized OfficialMarisa DistefanoOwner · (201) 446-4669
Enumeration DateDecember 16, 2024
Last NPPES UpdateDecember 27, 20242 updates tracked since enumeration
NPPES CertifiedDecember 27, 2024
✔ NPI 1194532861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
172 FRANKLIN AVE STE 4B, Ridgewood, NJ 07450
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Secondary Practice Location 1

Location 1422 Cedar Hill AveWyckoff, NJ 07481-2219 · Phone (201) 446-4669

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

BILJANA GREBINNIK
Counselor (Professional)
172 FRANKLIN AVE STE 4B
RIDGEWOOD, NJ 07450
Bergen County (201) 618-9725
MARISA DISTEFANO LPC
Counselor (Mental Health)
172 FRANKLIN AVE STE 4B
RIDGEWOOD, NJ 07450
Bergen County (201) 446-4669

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 Marisa P Distefano Lpc LLC's NPI number?

The NPI number for Marisa P Distefano Lpc LLC is 1194532861. It was assigned to this organization in the NPPES registry on December 16, 2024.

Where is Marisa P Distefano Lpc LLC located?

Marisa P Distefano Lpc LLC is located at 172 Franklin Ave Ste 4B, Ridgewood, NJ 07450. The listed phone number is (201) 446-4669.

What is Marisa P Distefano Lpc LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Marisa P Distefano Lpc LLC was last updated on December 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.