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MOUNTAIN LAKES PSYCHOTHERAPY, LLC
NPI 1669943528
Community/Behavioral Health in Mountain Lakes, NJ

Active since December 17, 2018
420 BOULEVARD STE 109, MOUNTAIN LAKES, NJ 07046(201) 710-4311(973) 588-4655 Get Directions Write a Review

NPPES record last updated: December 17, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mountain Lakes Psychotherapy, Llc NPPES

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

MOUNTAIN LAKES PSYCHOTHERAPY, LLC (NPI 1669943528) is a healthcare organization registered as a community/behavioral health in Mountain Lakes, New Jersey and active in the NPI registry since December 2018. The organization lists Joanne R. Vannest, Psychologist/owner, as its authorized official.

NPPES Registry Identity

NPI1669943528
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameMOUNTAIN LAKES PSYCHOTHERAPY, LLC
Location Address420 BOULEVARD STE 109Mountain Lakes, NJ 07046-1733
Mailing Address420 Boulevard Ste 109Mountain Lakes, NJ 07046-1733 · (201) 710-4311 · Fax (973) 588-4655
Phone(201) 710-4311
Fax(973) 588-4655
Organization SubpartNo
Authorized OfficialJoanne R. VannestPsychologist/owner · (201) 710-4311
Enumeration DateDecember 17, 2018
✔ NPI 1669943528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
420 BOULEVARD STE 109, Mountain Lakes, NJ 07046
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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mountain Lakes Psychotherapy, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mountain Lakes Psychotherapy, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Joanne Vannest, PH.D.
Clinical Psychologist
NPI 1245336460
22 OLD SHORT HILLS RD SUITE 216
Livingston, NJ 07039
(973) 994-3145
✔ PECOS11 mi

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 Mountain Lakes Psychotherapy, LLC's NPI number?

The NPI number for Mountain Lakes Psychotherapy, LLC is 1669943528. It was assigned to this organization in the NPPES registry on December 17, 2018.

Where is Mountain Lakes Psychotherapy, LLC located?

Mountain Lakes Psychotherapy, LLC is located at 420 Boulevard Ste 109, Mountain Lakes, NJ 07046. The listed phone number is (201) 710-4311.

What is Mountain Lakes Psychotherapy, LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Mountain Lakes Psychotherapy, LLC enrolled in Medicare?

Yes. Mountain Lakes Psychotherapy, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mountain Lakes Psychotherapy, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Mountain Lakes Psychotherapy, LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mountain Lakes Psychotherapy, LLC was last updated on December 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.