Jennifer Derisse, LCADC
NPI 1336784826 · Addiction (Substance Use Disorder) Counselor · Kearny, NJ
Enrolled with Medicare as Practitioner - Mental Health Counselor · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jennifer Derisse, LCADC is a Addiction (Substance Use Disorder) Counselor provider in Kearny, NJ (NPI 1336784826).
Provider details
- NPI number
- 1336784826
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- LCADC
- Sex
- Female
- Sole proprietor
- No
- License
- 37LC00296100
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
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Registry dates
- Enumerated
- 2019-11-08
- Last updated
- 2019-11-08
Frequently asked questions
- What is Jennifer Derisse's NPI number?
- Jennifer Derisse's National Provider Identifier (NPI) is 1336784826, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jennifer Derisse's specialty?
- Jennifer Derisse is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor (Behavioral Health & Social Service Providers).
- Where is Jennifer Derisse located?
- Jennifer Derisse's practice location on file with NPPES is 206 Bergen Ave, Kearny, NJ 07032-3384.
- What is Jennifer Derisse's phone number?
- The practice phone number listed in the NPPES registry for Jennifer Derisse is (732) 210-0509.
- Does Jennifer Derisse accept Medicare?
- Jennifer Derisse is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jennifer Derisse's NPI active?
- Yes — Jennifer Derisse's NPI (1336784826) is active in the NPPES registry as of the last update on 2019-11-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.