Debra Ann Tirado, MA, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

37AC00615700 Issued in NJ

Practice address

908 Pompton Ave Ste B2
Cedar Grove, NJ 07009-1263

Phone

(973) 715-7094

NPI assigned

Dec 17, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Debra Ann Faretra Former name

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Forza Psychotherapy and Counseling, LLC

  • Professional Counselor
  • Cedar Grove, NJ
  • NPI 1649093527
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1639699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1396405361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 POMPTON AVE STE B2",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070091263",
            "telephone_number": "973-715-7094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 POMPTON AVE STE B2",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070091263",
            "telephone_number": "973-715-7094"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26 Gless Ave",
            "address_purpose": "LOCATION",
            "city": "Nutley",
            "state": "NJ",
            "postal_code": "071103214",
            "country_code": "US",
            "telephone_number": "973-715-7094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIRADO",
        "first_name": "DEBRA",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-17",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00615700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEBRA",
            "last_name": "FARETRA",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Luciene (Lucy) Sant'Anna Takagi, PSY.D.
• Mitalben P. Thaliath, APN
• The Arc of Essex County, Inc.
• The Chiropractic Source PC
• Sonia Thohan, RN, APN, FNP-BC
• Jacey T Tronio, LSW
• Michelle C Troope, APN
• Patricia C Ulis, LCSW
• Value Life Psychological Services, LLC
• Jenna Reese Vega

• Mental Health Counselor in Cedar Grove, NJ
• Providers in Cedar Grove, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.