Active NPI
Kristen G Luzzi-Odorisio, M.A., L.P.C.
- Professional Counselor
- Nutley, NJ
National Provider Identifier
1588090401
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 37PC00485400
- Practice address
- 349 Franklin Ave
Suite 205
Nutley, NJ 07110-4004 - Phone
- (201) 780-9567
- NPI assigned
- Sep 24, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 37PC00485400 | NJ | Primary |
Addresses
Primary practice location
349 Franklin Ave
Suite 205
Nutley, NJ 07110-4004
Mailing address
492 Cedar LN # 543C
Teaneck, NJ 07666-1713
Phone (201) 780-9567
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37PC00485400 | NJ | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489968000000",
"number": "1588090401",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "492 CEDAR LN # 543C",
"city": "TEANECK",
"state": "NJ",
"postal_code": "076661713",
"telephone_number": "201-780-9567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "349 FRANKLIN AVE",
"address_2": "SUITE 205",
"city": "NUTLEY",
"state": "NJ",
"postal_code": "071104004",
"telephone_number": "201-780-9567"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUZZI-ODORISIO",
"first_name": "KRISTEN",
"middle_name": "G",
"name_prefix": "Mrs.",
"credential": "M.A., L.P.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-24",
"last_updated": "2017-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NJ",
"license": "37PC00485400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nutley, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.