Marisa Distefano, LPC
NPI 1720546260 · Mental Health Counselor · Ridgewood, NJ
Enrolled with Medicare as Practitioner - Mental Health Counselor · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Marisa Distefano, LPC is a Mental Health Counselor provider in Ridgewood, NJ (NPI 1720546260).
Provider details
- NPI number
- 1720546260
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 37PC00661500 (NJ)
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
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 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 (2)
- 3633 Hill Rd Fl 2Parsippany, NJ 07054-1000Phone: (973) 335-5525
- 422 Cedar Hill AveWyckoff, NJ 07481-2219Phone: (201) 446-4669
Registry dates
- Enumerated
- 2019-03-04
- Last updated
- 2024-12-27
- Certified
- 2024-12-27
Frequently asked questions
- What is Marisa Distefano's NPI number?
- Marisa Distefano's National Provider Identifier (NPI) is 1720546260, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Marisa Distefano's specialty?
- Marisa Distefano is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Marisa Distefano located?
- Marisa Distefano's practice location on file with NPPES is 172 Franklin Ave Ste 4b, Ridgewood, NJ 07450-3229.
- What is Marisa Distefano's phone number?
- The practice phone number listed in the NPPES registry for Marisa Distefano is (201) 446-4669.
- Does Marisa Distefano accept Medicare?
- Marisa Distefano is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Marisa Distefano's NPI active?
- Yes — Marisa Distefano's NPI (1720546260) 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.