Individual provider Active NPI

Marisa Dileo, MA, LAC

  • Mental Health Counselor
  • Cinnaminson, NJ
National Provider Identifier
1114652732
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
37AC00651200 Issued in NJ
Practice address
1260 Evergreen LN
Cinnaminson, NJ 08077-2412
Phone
(856) 499-2013
NPI assigned
Jul 18, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

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 37AC00651200 NJ Primary

Addresses

Primary practice location

1260 Evergreen LN
Cinnaminson, NJ 08077-2412

Mailing address

PO Box 2065
Cinnaminson, NJ 08077-5065
Phone (856) 685-8627

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260508003912 NJ Practitioner - Clinical Social Worker 8820566656 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Serenity Counseling, LLCGroup PAC ID 5698840288, 4 clinicians

Practice addresses (Care Compare)

78 E 2ND St
Moorestown, NJ 08057-3304
Phone (856) 499-2013

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
37AC00651200NJMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Counseling, LLC CurrentSince May 9, 2024 Accepting new patients

Locations

78 E 2nd St
Moorestown, NJ 08057
Phone (856) 488-2013

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1658102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1114652732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2065",
            "city": "CINNAMINSON",
            "state": "NJ",
            "postal_code": "080775065",
            "telephone_number": "856-685-8627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 EVERGREEN LN",
            "city": "CINNAMINSON",
            "state": "NJ",
            "postal_code": "080772412",
            "telephone_number": "856-499-2013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILEO",
        "first_name": "MARISA",
        "credential": "MA, LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-18",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00651200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cinnaminson, NJ

Sources for this page

Verify at the official NPI Registry.