Viktor Cortese
Individual provider Active NPI Mental Health Counselor · Dumont, NJ
NPI 1316601230 · NPPES record last updated Oct 27, 2021
Key facts
- NPI
- 1316601230
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 01168 (NY)
- Practice address
- 4 Summit Ave
Dumont, NJ 07628-1716 - Phone
- (631) 639-6755
- NPI assigned
- Oct 27, 2021
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240214002460 | NY | Practitioner - Mental Health Counselor | 1254775547 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01168 | NY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Cerebral Palsy Assoc of Nys Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 01168 | NY | Yes |
Addresses
Primary practice location
4 Summit Ave
Dumont, NJ 07628-1716
Mailing address
4 Summit Ave
Dumont, NJ 07628-1716
Phone (631) 639-6755
Other providers in Dumont, NJ
- Virginia Clark
- Krystal Coke
- Community Options, Inc
- Community Options, Inc.
- Jodi F Conway
- Perfecto Cortorreal
- Lois Corwin
- Jessica Costeniuc
- Cecilia Crasto
- Alexis Cuervo
All providers in Dumont, NJ · Mental Health Counselor in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 27, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.