Jason Manizza, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

004632-01 Issued in NY

Practice address

159 E Tryon Ave
Teaneck, NJ 07666-6142

Phone

(347) 796-1039

NPI assigned

Aug 29, 2012

Last updated

May 2, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Comprehensive Counseling LCSW, PLLC

  • Clinical Social Worker
  • Bayside, NY
  • NPI 1982798773

  Mental Health

  Medicare reassignment NPD
• Rise Mental Health Services, LLC

  • Mental Health Counselor
  • Teaneck, NJ
  • NPI 1972291516
  NPD Authorized official

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

{
    "created_epoch": "1346198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1528317104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 E TRYON AVE",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076666142",
            "telephone_number": "347-796-1039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 E TRYON AVE",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076666142",
            "telephone_number": "347-796-1039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANIZZA",
        "first_name": "JASON",
        "name_prefix": "Mr.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-29",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "004632-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Salman Mamji, MD
• Susannah Mandel Brill
• Elana Mandel
• Joseph Mandelbaum, CCC-A, CNIM
• June Mandeville-Kamins, LCSW
• Gia Manno
• Manor Shoes Inc.
• Farshad Mansouri, MD
• Dave Consunji Marcon, P.T.
• Ralph E Marcus, M.D.

• Mental Health Counselor in Teaneck, NJ
• Providers in Teaneck, 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 May 2, 2023; 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.