Individual provider Active NPI

Marilynn Fera Nereo, PHD, LPC, LMFT

  • Marriage & Family Therapist
  • Ridgewood, NJ
National Provider Identifier
1184792442
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
000329-1 Issued in NY
Practice address
310 Heights Rd
Ridgewood, NJ 07450-2416
Phone
(201) 447-6535
Fax
(201) 652-4903
NPI assigned
Dec 2, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 37PC00346000 NJ
Marriage & Family Therapist 106H00000X 000329-1 NY Primary

Addresses

Primary practice location

310 Heights Rd
Ridgewood, NJ 07450-2416

Mailing address

310 Heights Rd
Ridgewood, NJ 07450-2416
Phone (201) 447-6535

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
37PC00346000NJMDProfessional Counselor
000329-1NYMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1165017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1184792442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 HEIGHTS RD",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074502416",
            "telephone_number": "201-447-6535",
            "fax_number": "201-652-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 HEIGHTS RD",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074502416",
            "telephone_number": "201-447-6535",
            "fax_number": "201-652-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEREO",
        "first_name": "MARILYNN",
        "middle_name": "FERA",
        "name_prefix": "Dr.",
        "credential": "PHD, LPC, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-02",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00346000",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "000329-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.