Individual provider Active NPI

Daria Luongo, PSY.D., LPC, NCC

  • Counseling Psychologist
  • Nutley, NJ
National Provider Identifier
1467935189
Registry record updated Sep 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
37PC00622600 Issued in NJ
Practice address
10 Freeman PL
Nutley, NJ 07110-3314
Phone
(201) 396-8932
NPI assigned
Sep 9, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 37PC00622600 NJ Primary

Addresses

Primary practice location

10 Freeman PL
Nutley, NJ 07110-3314

Mailing address

10 Freeman PL
Nutley, NJ 07110-3314
Phone (201) 396-8932

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240208000229 NJ Practitioner - Marriage and Family Therapist 4880037704 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Baker Street Behavioral HealthGroup PAC ID 3476945098, 7 clinicians

Practice addresses (Care Compare)

15 -01 Broadway
Suite 30a
Fair Lawn, NJ 07410-6026
Phone (201) 381-6136

851 Franklin Lake Rd
Suite 204
Franklin Lakes, NJ 07417-2267
Phone (201) 381-6136

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Baker Street Behavioral Health CurrentSince Jan 1, 2024 Accepting new patients
Baker Street Mind Health, LLC PastSince Nov 12, 2023 Accepting new patients

Locations

1425 Pompton Ave
Cedar Grove, NJ 07009
Phone (201) 381-6136

15-01 Broadway
Ste 30A
Fair Lawn, NJ 07410
Phone (201) 381-6136

851 Franklin Lake Rd
Ste 204
Franklin Lakes, NJ 07417
Phone (201) 381-6136

10 Pine St
Morristown, NJ 07960
Phone (973) 267-0270

12 Madison Ave
Ste 306
Paramus, NJ 07652
Phone (201) 381-6136

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1536451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536451200000",
    "number": "1467935189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 FREEMAN PL",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071103314",
            "telephone_number": "201-396-8932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 FREEMAN PL",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071103314",
            "telephone_number": "201-396-8932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUONGO",
        "first_name": "DARIA",
        "name_prefix": "Dr.",
        "credential": "PSY.D., LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-09",
        "last_updated": "2018-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "NJ",
            "license": "37PC00622600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nutley, NJ

Sources for this page

Verify at the official NPI Registry.