Alicia Mardirosian, MS, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

37PC00800700 Issued in NJ

Practice address

687 Atlantic City Blvd
Bayville, NJ 08721-2548

Phone

(732) 269-4849

NPI assigned

Oct 3, 2016

Last updated

Dec 7, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1475452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1275082299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "687 ATLANTIC CITY BLVD",
            "city": "BAYVILLE",
            "state": "NJ",
            "postal_code": "087212548",
            "telephone_number": "732-269-4849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "687 ATLANTIC CITY BLVD",
            "city": "BAYVILLE",
            "state": "NJ",
            "postal_code": "087212548",
            "telephone_number": "732-269-4849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARDIROSIAN",
        "first_name": "ALICIA",
        "credential": "MS, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-03",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00800700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Machi
• Catherine Maclallen
• Jonathan Madden, M.S, ATC, CSCS
• Josephine Mahnken, D.C.
• Justine Malloy, CCC-SLP
• Nicholas Marra, PHARM D
• Susan Marie Martin, MACCCSLP
• Frank Matusik
• Ryan McCormick, P.T.
• Maryellen McElhinney, RN

• Professional Counselor in Bayville, NJ
• Providers in Bayville, NJ by specialty
• Professional Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; 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.