Individual provider Active NPI

Matilde Sicherer, LPC

  • Mental Health Counselor
  • Fair Lawn, NJ
National Provider Identifier
1073273751
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
37PC01082800 Issued in NJ
Practice address
23-01 Radburn Rd
Fair Lawn, NJ 07410-4526
Phone
(201) 638-3728
NPI assigned
Dec 22, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 37PC01082800 NJ Primary

Addresses

Primary practice location

23-01 Radburn Rd
Fair Lawn, NJ 07410-4526

Mailing address

23-01 Radburn Rd
Fair Lawn, NJ 07410-4526
Phone (201) 638-3728

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

State licenses

LicenseStateTypeSpecialty
37PC01082800NJMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1640131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1073273751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23-01 RADBURN RD",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074104526",
            "telephone_number": "201-638-3728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23-01 RADBURN RD",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074104526",
            "telephone_number": "201-638-3728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SICHERER",
        "first_name": "MATILDE",
        "name_prefix": "Dr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-22",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC01082800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; 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.