GUSTAVO BERNARDO MEJIA MA, LPC, LCADC
NPI 1639295801
Counselor - Professional in Englewood, NJ

Active since March 21, 2007
61 GRAND AVE, 3RD FLOOR, ENGLEWOOD, NJ 07631(201) 245-1159(201) 541-8100 Get Directions Write a Review

NPPES record last updated: August 28, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gustavo Bernardo Mejia Ma, Lpc, Lcadc NPPES

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

GUSTAVO BERNARDO MEJIA MA, LPC, LCADC (NPI 1639295801) is an individual professional provider in Englewood, New Jersey, licensed in New Jersey (37PC00396500) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1639295801
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameGUSTAVO BERNARDO MEJIACredential: MA, LPC, LCADC
Location Address61 GRAND AVE, 3RD FLOOREnglewood, NJ 07631-3572
Mailing Address150 Tryon Ave Apt E1Englewood, NJ 07631-1670 · (201) 245-1159 · Fax (201) 541-8100
Fax(201) 541-8100
Sole ProprietorYes
Enumeration DateMarch 21, 2007
Last NPPES UpdateAugust 28, 2011
NPI 1639295801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in NJ · 37PC00396500
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 37LC00170800 (NJ)
61 GRAND AVE, Englewood, NJ 07631

Other Identifiers 1

Other12063531Caqh

Other Providers at the Same Location NPPES 8

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

Clinic/Center (Physical Therapy)
61 GRAND AVE
ENGLEWOOD, NJ 07631
Social Worker (Clinical)
61 GRAND AVE
ENGLEWOOD, NJ 07631
Social Worker (Clinical)
61 GRAND AVE
ENGLEWOOD, NJ 07631
Social Worker (Clinical)
61 GRAND AVE, THIRD FLOOR
ENGLEWOOD, NJ 07631
Community/Behavioral Health
61 GRAND AVE
ENGLEWOOD, NJ 07631
Community/Behavioral Health
61 GRAND AVE, 3RD FLOOR
ENGLEWOOD, NJ 07631
Social Worker
61 GRAND AVE
ENGLEWOOD, NJ 07631
Social Worker (Clinical)
61 GRAND AVE
ENGLEWOOD, NJ 07631

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 Gustavo Mejia's NPI number?

The NPI number for Gustavo Mejia is 1639295801. It was assigned to this individual provider in the NPPES registry on March 21, 2007.

Where is Gustavo Mejia located?

Gustavo Mejia practices at 61 Grand Ave 3rd Floor, Englewood, NJ 07631. The listed phone number is (201) 245-1159.

What is Gustavo Mejia's specialty?

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

When was this NPI record last updated?

The NPPES record for Gustavo Mejia was last updated on August 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.