Marisa P Distefano Lpc LLC
NPI 1194532861ActiveOrganization· Counselor, Mental Health· Ridgewood, NJ
Counselor, Mental Health in Ridgewood, New Jersey, registered in NPPES in December 2024. The authorized official on file is Marisa Distefano, LPC, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1194532861 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 16, 2024 |
| Last updated in NPPES | Dec 27, 2024 |
| Certified by provider | Dec 27, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NJ) |
|---|
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