MARY JEAN JOSE LAC
NPI 1619625563
Counselor - Mental Health in River Vale, NJ

Q: What is Mary Jose's NPI number?

The NPI number for Mary Jose is 1619625563. It was assigned to this individual provider in the NPPES registry on March 10, 2022.

Q: What is Mary Jose's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mary Jose was last updated on March 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since March 10, 2022

619 BERNITA DR, RIVER VALE, NJ 07675(732) 689-0171 Get Directions Write a Review

NPPES record last updated: March 10, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mary Jean Jose Lac NPPES

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

MARY JEAN JOSE LAC (NPI 1619625563) is an individual mental health provider in River Vale, New Jersey, licensed in New Jersey (37AC00490600) and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1619625563

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMARY JEAN JOSECredential: LAC

Location Address619 BERNITA DRRiver Vale, NJ 07675-5905

Mailing Address619 Bernita DrRiver Vale, NJ 07675-5905 · (732) 689-0171

Phone(732) 689-0171

Sole ProprietorYes

Enumeration DateMarch 10, 2022

NPPES CertifiedMarch 10, 2022

✔ NPI 1619625563 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 · 37AC00490600

619 BERNITA DR, River Vale, NJ 07675

Open in Google Maps ↗

Other Providers at the Same Location NPPES

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

ANXIETY LEADER LLC

Counselor (Mental Health)

619 BERNITA DR
RIVER VALE, NJ 07675

Bergen County (732) 689-0171

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 Mary Jose's NPI number?

The NPI number for Mary Jose is 1619625563. It was assigned to this individual provider in the NPPES registry on March 10, 2022.

Where is Mary Jose located?

Mary Jose practices at 619 Bernita Dr, River Vale, NJ 07675. The listed phone number is (732) 689-0171.

What is Mary Jose'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 Mary Jose was last updated on March 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.