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ELLYN ALFONSO MA, LAC
NPI 1669961553
Counselor - Mental Health in Fair Lawn, NJ

Active since May 07, 2018
17-07 ROMAINE ST, FAIR LAWN, NJ 07410(201) 797-2660 Get Directions Write a Review

NPPES record last updated: May 7, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ellyn Alfonso Ma, Lac NPPES

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

ELLYN ALFONSO MA, LAC (NPI 1669961553) is an individual mental health provider in Fair Lawn, New Jersey, licensed in New Jersey (37AC00262300) and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1669961553
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameELLYN ALFONSOCredential: MA, LAC
Location Address17-07 ROMAINE STFair Lawn, NJ 07410-2150
Mailing Address54 Clifton BlvdClifton, NJ 07011-3814
Phone(201) 797-2660
Sole ProprietorNo
Enumeration DateMay 7, 2018
✔ NPI 1669961553 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 · 37AC00262300
17-07 ROMAINE ST, Fair Lawn, NJ 07410
Open in Google Maps ↗

Other Names 1

Former Name (1)Ellyn Alejan

Other Providers at the Same Location NPPES 20

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

STEPHANIE DOMNITZ
Counselor
17-07 ROMAINE ST
FAIR LAWN, NJ 07410
Bergen County (201) 797-2660
MICHAEL T LEUBLING MED, LPC, NCC
Counselor (Mental Health)
17-07 ROMAINE ST
FAIR LAWN, NJ 07410
Bergen County (201) 796-9482
ALYSSA BRESSMAN MSW, LSW, CASAC
Social Worker
17-07 ROMAINE ST
FAIR LAWN, NJ 07410
Bergen County (201) 797-2660
MRS. TERESA ANN MARTINO M.A
Community/Behavioral Health
17-07 ROMAINE ST
FAIR LAWN, NJ 07410
Bergen County (201) 797-2660
JENNI LIEBIG LSW
Social Worker
17-07 ROMAINE ST
FAIR LAWN, NJ 07410
Bergen County (201) 797-2660
MS. BRIGITTE LYNN BUCCELLATO LCSW
Social Worker (Clinical)
17-07 ROMAINE ST
FAIR LAWN, NJ 07410
Bergen County (201) 797-2660
PAULA ROA
Case Manager/Care Coordinator
17-07 ROMAINE ST
FAIR LAWN, NJ 07410
Bergen County (201) 838-5188
MARIAN COUCEIRO
Social Worker (Clinical)
17-07 ROMAINE ST
FAIR LAWN, NJ 07410
Bergen County (201) 797-2660

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 Ellyn Alfonso's NPI number?

The NPI number for Ellyn Alfonso is 1669961553. It was assigned to this individual provider in the NPPES registry on May 7, 2018. The provider is also known as Ellyn Alejan.

Where is Ellyn Alfonso located?

Ellyn Alfonso practices at 17-07 Romaine St, Fair Lawn, NJ 07410. The listed phone number is (201) 797-2660.

What is Ellyn Alfonso'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 Ellyn Alfonso was last updated on May 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.