Individual provider Active NPI

Martine Acanfora

  • Mental Health Counselor
  • Nutley, NJ
National Provider Identifier
1124979562
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
44SL07047200 Issued in NJ
Practice address
386 Harrison St
Nutley, NJ 07110-2517
Phone
(973) 634-6271
NPI assigned
Feb 3, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 37LC00416800 NJ
Mental Health Counselor 101YM0800X 44SL07047200 NJ Primary

Addresses

Primary practice location

386 Harrison St
Nutley, NJ 07110-2517

Mailing address

386 Harrison St
Nutley, NJ 07110-2517
Phone (973) 634-6271

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
37LC00416800NJMDAddiction (Substance Use Disorder) Counselor
44SL07047200NJMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1770076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779753600000",
    "number": "1124979562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "386 HARRISON ST",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071102517",
            "telephone_number": "973-634-6271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "386 HARRISON ST",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071102517",
            "telephone_number": "973-634-6271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACANFORA",
        "first_name": "MARTINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-02-03",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00416800",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "44SL07047200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nutley, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.