Alexis Cuervo
Individual provider Active NPI Mental Health Counselor · Dumont, NJ
NPI 1033799028 · NPPES record last updated Apr 13, 2021
Key facts
- NPI
- 1033799028
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 2 Park Ave
Dumont, NJ 07628-3004 - Phone
- (201) 385-4400
- NPI assigned
- Apr 13, 2021
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
2 Park Ave
Dumont, NJ 07628-3004
Mailing address
93 W Palisade Ave
Englewood, NJ 07631-2611
Phone (201) 567-0500
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Dumont |
Other providers in Dumont, NJ
- Viktor Cortese
- Perfecto Cortorreal
- Lois Corwin
- Jessica Costeniuc
- Cecilia Crasto
- Mina D'Arrigo
- Marie D'Elia
- Daniel Eidman LLC
- Ashumi Dave
- Radhika Dawra
All providers in Dumont, NJ · Mental Health Counselor in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 13, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.