Chris Desilvestri, LMFT LCADC
Individual provider Active NPI Mental Health Counselor · Aberdeen, NJ
NPI 1104286160 · NPPES record last updated Mar 2, 2016
Key facts
- NPI
- 1104286160
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 37FI00176800 (NJ)
- Practice address
- 506 Laurie LN
Aberdeen, NJ 07747-1501 - Phone
- (732) 309-6104
- NPI assigned
- Mar 2, 2016
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37LC00176700 | NJ | MD | Addiction (Substance Use Disorder) Counselor |
| 37FI00176800 | NJ | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Freedom Counseling LLC | Current |
Accepting new patients | |
| Platinum Counseling | Mental Health | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 37LC00176700 | NJ | |
| Mental Health Counselor | 101YM0800X | 37FI00176800 | NJ | Yes |
Addresses
Primary practice location
506 Laurie LN
Aberdeen, NJ 07747-1501
Mailing address
506 Laurie LN
Aberdeen, NJ 07747-1501
Phone (732) 309-6104
Other providers in Aberdeen, NJ
- Dawn Maria D'Onofrio
- Hem Dave
- Define Physical Therapy and Personal Care Inc
- Charles Demarco
- Elizabeth A Demarco
- Megan Di Dio
- Alyssa Diaz
- Vincent Digiallonardo
- James Dinicola
- Julian Peter Dituri
All providers in Aberdeen, 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 Mar 2, 2016. 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.