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MRS. LIZANDRA M PORTALATIN MA, LPC
NPI 1346862000
Counselor - Mental Health in Clark, NJ

Active since May 15, 2020PECOS Enrolled
100 WALNUT AVE STE 210, CLARK, NJ 07066(732) 454-7810 Get Directions Write a Review

NPPES record last updated: January 27, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Lizandra M Portalatin Ma, Lpc NPPES

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

MRS. LIZANDRA M PORTALATIN MA, LPC (NPI 1346862000) is an individual mental health provider in Clark, New Jersey, licensed in New Jersey (37AC00529000) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1346862000
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. LIZANDRA M PORTALATINCredential: MA, LPC
Location Address100 WALNUT AVE STE 210Clark, NJ 07066-1269
Mailing Address100 Walnut Ave Ste 210Clark, NJ 07066-1269 · (732) 454-7810
Phone(732) 454-7810
Sole ProprietorNo
Enumeration DateMay 15, 2020
Last NPPES UpdateJanuary 27, 2025
NPPES CertifiedJanuary 27, 2025
✔ NPI 1346862000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NJ · 37AC00529000
100 WALNUT AVE STE 210, Clark, NJ 07066
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Lizandra M Portalatin Ma, Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 11

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

TAHLIA DELORENZO LPC, NCC
Counselor
100 WALNUT AVE STE 210
CLARK, NJ 07066
Union County (732) 352-3745
DAVID S GOLDSTEIN M.D.
Internal Medicine (Pulmonary Disease)
100 WALNUT AVE STE 210
CLARK, NJ 07066
Union County (732) 226-7400
DAVID S. GOLDSTEIN, M.D., L.L.C.
Internal Medicine (Pulmonary Disease)
100 WALNUT AVE STE 210
CLARK, NJ 07066
Union County (732) 226-7400
CMLC ABA, LLC
Behavior Analyst
100 WALNUT AVE STE 210
CLARK, NJ 07066
Union County (908) 336-1716
AFIYA ABEO COZIER LPC, ACS, LCADC, CCS
Counselor (Addiction (Substance Use Disorder))
100 WALNUT AVE STE 210
CLARK, NJ 07066
Union County (443) 631-4252
CINDY CONCEICAO BCBA
Behavior Analyst
100 WALNUT AVE STE 210
CLARK, NJ 07066
Union County (908) 336-1716
MICHELLE LORDELLO BCBA
Behavior Analyst
100 WALNUT AVE STE 210
CLARK, NJ 07066
Union County (908) 336-1716
FOUNDATIONS AUTISM LLC
Behavior Analyst
100 WALNUT AVE STE 210
CLARK, NJ 07066
Union County (908) 731-1490

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 Lizandra Portalatin's NPI number?

The NPI number for Lizandra Portalatin is 1346862000. It was assigned to this individual provider in the NPPES registry on May 15, 2020.

Where is Lizandra Portalatin located?

Lizandra Portalatin practices at 100 Walnut Ave Ste 210, Clark, NJ 07066. The listed phone number is (732) 454-7810.

What is Lizandra Portalatin's specialty?

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

Is Lizandra Portalatin enrolled in Medicare?

Yes. Lizandra Portalatin is registered in the Medicare PECOS enrollment system.

What insurance does Lizandra Portalatin accept?

Health plans from UnitedHealthcare list Lizandra Portalatin as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lizandra Portalatin was last updated on January 27, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.