Individual provider Active NPI

Sienna Marie Decaria, NCC, LAC

  • Mental Health Counselor
  • Mount Laurel, NJ
National Provider Identifier
1356165245
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
37AC00826700 Issued in NJ
Practice address
161 Gaither Dr Ste 105
Mount Laurel, NJ 08054-1740
Phone
(610) 389-1382
NPI assigned
Nov 8, 2024
Last updated
Nov 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 1734515 NJ
Mental Health Counselor 101YM0800X 37AC00826700 NJ Primary

Addresses

Primary practice location

161 Gaither Dr Ste 105
Mount Laurel, NJ 08054-1740

Mailing address

161 Gaither Dr Ste 105
Mount Laurel, NJ 08054-1740
Phone (610) 389-1382

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

State licenses

LicenseStateTypeSpecialty
1734515NJMDMental Health Counselor
37AC00826700NJMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1731024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1356165245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 GAITHER DR STE 105",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080541740",
            "telephone_number": "610-389-1382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 GAITHER DR STE 105",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080541740",
            "telephone_number": "610-389-1382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECARIA",
        "first_name": "SIENNA",
        "middle_name": "MARIE",
        "credential": "NCC, LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-08",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "1734515",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00826700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Laurel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; 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.