Anne Vivien Piazza, LPC, LCADC, CCS

Individual provider Active NPI Professional Counselor · Glen Gardner, NJ

NPI 1336587153 · NPPES record last updated Jul 10, 2025

Key facts

NPI
1336587153
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
37PC01099400 (NJ)
Practice address
11 Main St
Glen Gardner, NJ 08826-3602
Phone
(215) 917-3213
NPI assigned
Jun 14, 2013
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
37LC00289100NJMDAddiction (Substance Use Disorder) Counselor
CCS-50241NJMDAddiction (Substance Use Disorder) Counselor
37PC01099400NJMDProfessional Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor
Group: 193200000X MULTI-SPECIALTY GROUP
101YA0400X CCS-50241 NJ
Addiction (Substance Use Disorder) Counselor
Group: 193200000X MULTI-SPECIALTY GROUP
101YA0400X 37LC00289100 NJ
Professional Counselor
Group: 193200000X MULTI-SPECIALTY GROUP
101YP2500X 37PC01099400 NJ Yes

Addresses

Primary practice location

11 Main St
Glen Gardner, NJ 08826-3602

Mailing address

11 Main St
Glen Gardner, NJ 08826-3602
Phone (215) 917-3213

Other providers in Glen Gardner, NJ

All providers in Glen Gardner, NJ · Professional Counselor in New Jersey

Sources for this page

Verify at the official NPI Registry.