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MRS. LAURIE TILLERSON BA
NPI 1821453739
Counselor - Mental Health in Bergenfield, NJ

Active since December 18, 2015
386 W MAIN ST, BERGENFIELD, NJ 07621(201) 385-8223 Get Directions Write a Review

NPPES record last updated: December 18, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mrs. Laurie Tillerson Ba NPPES

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

MRS. LAURIE TILLERSON BA (NPI 1821453739) is an individual mental health provider in Bergenfield, New Jersey and active in the NPI registry since December 2015.

NPPES Registry Identity

NPI1821453739
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. LAURIE TILLERSONCredential: BA
Location Address386 W MAIN STBergenfield, NJ 07621-1569
Mailing Address386 W Main StBergenfield, NJ 07621-1569 · (201) 385-8223
Phone(201) 385-8223
Sole ProprietorNo
Enumeration DateDecember 18, 2015
✔ NPI 1821453739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
386 W MAIN ST, Bergenfield, NJ 07621
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Other Providers at the Same Location NPPES 6

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

MRS. VIRGINIA A FLYNN
Counselor (Mental Health)
386 W MAIN ST
BERGENFIELD, NJ 07621
Bergen County (201) 385-8223
NANCY MARCOCCIA MA
Counselor (Mental Health)
386 W MAIN ST
BERGENFIELD, NJ 07621
Bergen County (201) 385-8223
MR. KEVIN GOODLEAF BA
Counselor (Mental Health)
386 W MAIN ST
BERGENFIELD, NJ 07621
Bergen County (201) 385-8223
MS. CARLA R WIGGINS
Counselor (Mental Health)
386 W MAIN ST
BERGENFIELD, NJ 07621
Bergen County (201) 385-8223
MR. JOHN CRUZ
Counselor (Mental Health)
386 W MAIN ST
BERGENFIELD, NJ 07621
Bergen County (201) 385-8223
MR. RYAN HAITHCOCK I BA
Counselor (Mental Health)
386 W MAIN ST
BERGENFIELD, NJ 07621
Bergen County (201) 385-8223

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 Laurie Tillerson's NPI number?

The NPI number for Laurie Tillerson is 1821453739. It was assigned to this individual provider in the NPPES registry on December 18, 2015.

Where is Laurie Tillerson located?

Laurie Tillerson practices at 386 W Main St, Bergenfield, NJ 07621. The listed phone number is (201) 385-8223.

What is Laurie Tillerson'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 Laurie Tillerson was last updated on December 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.