Individual provider Active NPI

Camilo E. Marmolejo, MA, LPC, CSC, NCC

  • Professional Counselor
  • Kearny, NJ
National Provider Identifier
1023387065
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00520400 Issued in NJ
Practice address
78 John Miller Way
Kearny, NJ 07032-6500
Phone
(201) 702-1528
NPI assigned
Dec 20, 2011
Last updated
May 18, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 18, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 37PC00520400 NJ Primary
School Counselor 101YS0200X 809351 NJ

Addresses

Primary practice location

78 John Miller Way
Kearny, NJ 07032-6500

Mailing address

78 John Miller Way Ste 326
PMB 1002
Kearny, NJ 07032-6533
Phone (201) 702-1528

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
37PC00520400NJMDProfessional Counselor
809351NJMDSchool Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mar Counseling Limited Liability Company Professional Current Accepting new patients

Locations

78 John Miller Way
Ste 326
Kearny, NJ 07032
Phone (908) 864-6342

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1324339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1023387065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 JOHN MILLER WAY STE 326",
            "address_2": "PMB 1002",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "070326533",
            "telephone_number": "201-702-1528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 JOHN MILLER WAY",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "070326500",
            "telephone_number": "201-702-1528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARMOLEJO",
        "first_name": "CAMILO",
        "middle_name": "E.",
        "name_prefix": "Mr.",
        "credential": "MA, LPC, CSC, NCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-12-20",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00520400",
            "primary": true
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "NJ",
            "license": "809351",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearny, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.