Marisa P Distefano Lpc LLC
NPI 1194532861 · Mental Health Counselor · Ridgewood, NJ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Marisa P Distefano Lpc LLC is a Mental Health Counselor organization in Ridgewood, NJ (NPI 1194532861).
Provider details
- NPI number
- 1194532861
- Entity type
- Organization
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Marisa Distefano, Owner(201) 446-4669
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 422 Cedar Hill AveWyckoff, NJ 07481-2219Phone: (201) 446-4669
Registry dates
- Enumerated
- 2024-12-16
- Last updated
- 2024-12-27
- Certified
- 2024-12-27
Frequently asked questions
- What is Marisa P Distefano Lpc LLC's NPI number?
- Marisa P Distefano Lpc LLC's National Provider Identifier (NPI) is 1194532861, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Marisa P Distefano Lpc LLC?
- Marisa P Distefano Lpc LLC is classified in the NPPES registry as Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Marisa P Distefano Lpc LLC located?
- Marisa P Distefano Lpc LLC's practice location on file with NPPES is 172 Franklin Ave Ste 4b, Ridgewood, NJ 07450-3229.
- What is Marisa P Distefano Lpc LLC's phone number?
- The practice phone number listed in the NPPES registry for Marisa P Distefano Lpc LLC is (201) 446-4669.
- Does Marisa P Distefano Lpc LLC accept Medicare?
- Marisa P Distefano Lpc LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Marisa P Distefano Lpc LLC?
- The authorized official listed on Marisa P Distefano Lpc LLC's NPPES record is Marisa Distefano, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Marisa P Distefano Lpc LLC's NPI active?
- Yes — Marisa P Distefano Lpc LLC's NPI (1194532861) is active in the NPPES registry as of the last update on 2024-12-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.