Individual provider Active NPI

Marissa Valeriano

  • Professional Counselor
  • Bayonne, NJ
National Provider Identifier
1134975766
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC01026000 Issued in NJ
Practice address
654 Avenue C Ste 301
Bayonne, NJ 07002-3899
Phone
(201) 743-8889
NPI assigned
Apr 25, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 37PC01026000 NJ Primary

Addresses

Primary practice location

654 Avenue C Ste 301
Bayonne, NJ 07002-3899

Mailing address

1154 Avenue C Ste 301
Bayonne, NJ 07002-3372

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
37PC01026000NJMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
A Space for You Mental Health Care PC CurrentSince Apr 28, 2024 Accepting new patients
Hudson Medical PC CurrentSince Apr 28, 2024 Accepting new patients
Marissa Valeriano Therapy Professional CurrentSince Jun 8, 2025 Accepting new patients

Locations

654 Avenue C
Ste 301
Bayonne, NJ 07002
Phone (201) 339-4644

Organizations & group practices 3

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": "1714003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1134975766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1154 AVENUE C STE 301",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "654 AVENUE C STE 301",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023899",
            "telephone_number": "201-743-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALERIANO",
        "first_name": "MARISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-25",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC01026000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayonne, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; 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.