Individual provider Active NPI

Shirin Zarqa-Lederman, MA, LPC, LCADC, BCPC

  • Counselor
  • Cranbury, NJ
National Provider Identifier
1609260645
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
37PC00485500 Issued in NJ
Practice address
13 N Main St
Cranbury, NJ 08512-3255
Phone
(732) 875-0985
Fax
(888) 244-7140
NPI assigned
Mar 27, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 37PC00485500 NJ Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 37LC00129600 NJ

Addresses

Primary practice location

13 N Main St
Cranbury, NJ 08512-3255

Mailing address

PO Box 130
Cranbury, NJ 08512-0130
Phone (732) 501-3449

Other identifiers 1

IdentifierTypeStateIssuer
13519275OtherNJCAHQ PROVIDER ID

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)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
37LC00129600NJMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Diaspora Psychologist, LLC Counselor CurrentSince Mar 1, 2024 Accepting new patients

Organizations & group practices 1

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": "1427414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1609260645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 130",
            "city": "CRANBURY",
            "state": "NJ",
            "postal_code": "085120130",
            "telephone_number": "732-501-3449",
            "fax_number": "888-244-7140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 N MAIN ST",
            "city": "CRANBURY",
            "state": "NJ",
            "postal_code": "085123255",
            "telephone_number": "732-875-0985",
            "fax_number": "888-244-7140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZARQA-LEDERMAN",
        "first_name": "SHIRIN",
        "credential": "MA, LPC, LCADC, BCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-27",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NJ",
            "license": "37PC00485500",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00129600",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAHQ PROVIDER ID",
            "identifier": "13519275",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranbury, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.