Stacy Cesar
Individual provider Active NPI Mental Health Counselor · West Orange, NJ
NPI 1720547375 · NPPES record last updated Nov 27, 2023
Key facts
- NPI
- 1720547375
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 014004 (NY)
- Practice address
- 33 Ashland Ave
West Orange, NJ 07052-5559 - Phone
- (929) 483-4361
- NPI assigned
- Mar 13, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 014004 | NY | Yes |
Addresses
Primary practice location
33 Ashland Ave
West Orange, NJ 07052-5559
Mailing address
33 Ashland Ave Apt 255
West Orange, NJ 07052-5561
Phone (929) 483-4361
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All providers in West Orange, NJ · Mental Health Counselor in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.