JILL MARIE DEPERI LPC
NPI 1508350869
Counselor - Professional in Fair Lawn, NJ
About Jill Marie Deperi Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JILL MARIE DEPERI LPC (NPI 1508350869) is an individual professional provider in Fair Lawn, New Jersey, licensed in New Jersey (37PC00679200) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2002).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jill Marie Deperi Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jill Deperi reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Franklin Lakes, NJ 07417
- Reassigned Medicare billing, New Jersey enrollment
- 12 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Jill Deperi's NPI number?
The NPI number for Jill Deperi is 1508350869. It was assigned to this individual provider in the NPPES registry on June 20, 2018.
Where is Jill Deperi located?
Jill Deperi practices at 22-08 Route 208 South, Fair Lawn, NJ 07410. The listed phone number is (201) 261-2800.
What is Jill Deperi's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Jill Deperi enrolled in Medicare?
Yes. Jill Deperi is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jill Deperi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jill Deperi reassigns Medicare benefits to Baker Street Behavioral Health (Franklin Lakes, 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 Jill Deperi'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 Jill Deperi was last updated on February 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Jill Marie Deperi, LPC · NPI 1508350869
Professional provider in Fair Lawn, New Jersey. Individual provider, active in the CMS NPPES registry since June 20, 2018.
## Identity
- **NPI:** 1508350869 (Entity type: Individual)
- **Enumerated:** June 20, 2018
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 37PC00679200 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 22-08 ROUTE 208 SOUTH, Fair Lawn, NJ 07410
- **Phone:** (201) 261-2800
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Baker Street Behavioral Health (NPI 1659841096, Franklin Lakes, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2002
## Record status
- **NPPES last updated:** February 10, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1508350869) · Data from the CMS NPPES public registry.