Active NPI
Leidy Quispe
- Professional Counselor
- Rochelle Park, NJ
National Provider Identifier
1437652294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 37PC00578300
- Practice address
- 350 W Passaic St Ste 4
Rochelle Park, NJ 07662-3000 - Phone
- (973) 282-6299
- Fax
- (855) 325-9859
- NPI assigned
- Mar 17, 2018
- Last updated
- Nov 1, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 37PC00578300 | NJ | Primary |
| Marriage & Family Therapist | 106H00000X | 37PC00578300 | NJ |
Addresses
Primary practice location
350 W Passaic St Ste 4
Rochelle Park, NJ 07662-3000
Mailing address
350 W Passaic St Ste 4
Rochelle Park, NJ 07662-3000
Phone (551) 255-3806
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
| License | State | Type | Specialty |
|---|---|---|---|
| 37PC00578300 | NJ | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667260800000",
"number": "1437652294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 W PASSAIC ST STE 4",
"city": "ROCHELLE PARK",
"state": "NJ",
"postal_code": "076623000",
"telephone_number": "551-255-3806",
"fax_number": "855-325-9859"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 W PASSAIC ST STE 4",
"city": "ROCHELLE PARK",
"state": "NJ",
"postal_code": "076623000",
"telephone_number": "973-282-6299",
"fax_number": "855-325-9859"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUISPE",
"first_name": "LEIDY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-17",
"last_updated": "2022-11-01",
"certification_date": "2022-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NJ",
"license": "37PC00578300",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NJ",
"license": "37PC00578300",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rochelle Park, NJ
- Progressive Sports Rehabilitation
- Progressive Wellness & Therapy Group of New Jersey LLC
- Prudent Home Health Care Services Inc.
- Pulmonary Services of Hackensack, PA
- Quispe Counseling and Therapy LLC (Courageous Therapy NJ)
- Christina L Ramirez, LCSW
- Relevare Behavioral Health, LLC
- Justine Rella, LICENSE PROFESSIONAL
- Beata Maria Rembiesa-Osinski, MSRD
- Miarose Reyes, RN/IBCLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 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.