Individual provider Active NPI

Leslie Marianne Deblasio, MA, LPC, LCADC

  • Professional Counselor
  • Ho Ho Kus, NJ
National Provider Identifier
1659648574
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00568700 Issued in NJ
Practice address
18 Sycamore Ave Ste 2
Ho Ho Kus, NJ 07423-1500
Phone
(201) 540-8826
NPI assigned
Nov 21, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 37LC00181600 NJ
Professional Counselor 101YP2500X 37PC00568700 NJ Primary

Addresses

Primary practice location

18 Sycamore Ave Ste 2
Ho Ho Kus, NJ 07423-1500

Mailing address

5 Sicomac Road
P.O. Box 162
North Haledon, NJ 07508
Phone (973) 495-6637

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

LicenseStateTypeSpecialty
37LC00181600NJMDAddiction (Substance Use Disorder) Counselor
37PC00568700NJMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1321833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1659648574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 SICOMAC ROAD",
            "address_2": "P.O. BOX 162",
            "city": "NORTH HALEDON",
            "state": "NJ",
            "postal_code": "07508",
            "telephone_number": "973-495-6637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 SYCAMORE AVE STE 2",
            "city": "HO HO KUS",
            "state": "NJ",
            "postal_code": "074231500",
            "telephone_number": "201-540-8826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBLASIO",
        "first_name": "LESLIE",
        "middle_name": "MARIANNE",
        "name_prefix": "Mrs.",
        "credential": "MA, LPC, LCADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-21",
        "last_updated": "2021-03-30",
        "certification_date": "2021-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00181600",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00568700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ho Ho Kus, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; 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.