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IMELDA D. MANTILLA BA
NPI 1720598204
Counselor in Clifton, NJ

Active since October 10, 2017
777 BLOOMFIELD AVE, CLIFTON, NJ 07012(973) 594-0125(973) 594-0536 Get Directions Write a Review

NPPES record last updated: October 10, 2017. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Imelda D. Mantilla Ba NPPES

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

IMELDA D. MANTILLA BA (NPI 1720598204) is an individual counselor in Clifton, New Jersey and active in the NPI registry since October 2017.

NPPES Registry Identity

NPI1720598204
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameIMELDA D. MANTILLACredential: BA
Location Address777 BLOOMFIELD AVEClifton, NJ 07012-1242
Mailing Address777 Bloomfield AveClifton, NJ 07012-1242 · (973) 594-0125 · Fax (973) 594-0536
Phone(973) 594-0125
Fax(973) 594-0536
Sole ProprietorYes
Enumeration DateOctober 10, 2017
✔ NPI 1720598204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
777 BLOOMFIELD AVE, Clifton, NJ 07012
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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.

DR. SHANI STEIN M.D.
Psychiatry & Neurology (Psychiatry)
777 BLOOMFIELD AVE
CLIFTON, NJ 07012
Passaic County (973) 594-0125
MRS. YILDIZ MUEDIN RN BSN
Community Based Residential Treatment Facility, Mental Illness
777 BLOOMFIELD AVE
CLIFTON, NJ 07012
Passaic County (973) 594-0125
MRS. NANCY CATHERINE O'BRIEN RN
Registered Nurse (Psychiatric/Mental Health)
777 BLOOMFIELD AVE
CLIFTON, NJ 07012
Passaic County (973) 594-0125
MS. RAQUEL JONES
Counselor (Mental Health)
777 BLOOMFIELD AVE
CLIFTON, NJ 07012
Passaic County (973) 594-0125
BRIAN MONTEIRO
Counselor (Mental Health)
777 BLOOMFIELD AVE
CLIFTON, NJ 07012
Passaic County (973) 594-0125
LUCERO SORIA
Counselor (Mental Health)
777 BLOOMFIELD AVE
CLIFTON, NJ 07012
Passaic County (973) 594-0125
MRS. MARINA FOORD APN, PMHNP-BC
Psychiatry & Neurology (Psychiatry)
777 BLOOMFIELD AVE
CLIFTON, NJ 07012
Passaic County (973) 594-0125
MISS SARAH FISHER
Social Worker (Clinical)
777 BLOOMFIELD AVE
CLIFTON, NJ 07012
Passaic County (973) 594-0125

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 Imelda Mantilla's NPI number?

The NPI number for Imelda Mantilla is 1720598204. It was assigned to this individual provider in the NPPES registry on October 10, 2017.

Where is Imelda Mantilla located?

Imelda Mantilla practices at 777 Bloomfield Ave, Clifton, NJ 07012. The listed phone number is (973) 594-0125.

What is Imelda Mantilla's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Imelda Mantilla was last updated on October 10, 2017. 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.