Active NPI
Carolyn J Demarco, LPC
- Professional Counselor
- Woodcliff Lake, NJ
National Provider Identifier
1245828441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 37PC00734100
- Practice address
- 172 Broadway Ste 204
Woodcliff Lake, NJ 07677-8077 - Phone
- (201) 580-6421
- NPI assigned
- Jan 4, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 37PC00734100 | NJ | Primary |
Addresses
Primary practice location
172 Broadway Ste 204
Woodcliff Lake, NJ 07677-8077
Mailing address
PO Box 1393
Township of Washington, NJ 07676-1393
Phone (732) 403-4994
Other names 1
- CJ Demarco
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Previously, effective Aug 18, 2024 through Aug 18, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37PC00734100 | NJ | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633996800000",
"number": "1245828441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1393",
"city": "TOWNSHIP OF WASHINGTON",
"state": "NJ",
"postal_code": "076761393",
"telephone_number": "732-403-4994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "172 BROADWAY STE 204",
"city": "WOODCLIFF LAKE",
"state": "NJ",
"postal_code": "076778077",
"telephone_number": "201-580-6421"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMARCO",
"first_name": "CAROLYN",
"middle_name": "J",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-01-04",
"last_updated": "2021-10-12",
"certification_date": "2021-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NJ",
"license": "37PC00734100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CJ",
"last_name": "DEMARCO",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Woodcliff Lake, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.