Robert Mazzucco, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

37AC00147100 Issued in NJ

Practice address

1 Bank St Ste 207
Rockaway, NJ 07866-3430

Phone

(973) 951-6087

NPI assigned

Nov 17, 2014

Last updated

Aug 27, 2019By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Main St Counseling Center

  • Community/Behavioral Health Agency
  • West Orange, NJ
  • NPI 1720417876
  NPD (past)
• Main Street Counseling Service

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • West Orange, NJ
  • NPI 1578699070
  NPD (past)

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

{
    "created_epoch": "1416182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566864000000",
    "number": "1770989907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 RIVER RD",
            "city": "BOONTON",
            "state": "NJ",
            "postal_code": "070059147",
            "telephone_number": "973-951-6087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BANK ST STE 207",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078663430",
            "telephone_number": "973-951-6087"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 Marcella Ave",
            "address_purpose": "LOCATION",
            "city": "West Orange",
            "state": "NJ",
            "postal_code": "07006",
            "country_code": "US",
            "telephone_number": "973-736-2041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAZZUCCO",
        "first_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-11-17",
        "last_updated": "2019-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00147100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ninette V Martinez
• Alicia Mastrangelo
• April Joan Matera-Patiro, LCSW
• Jonnathan Matute, DMD
• Maximum Health & Wellness Rockaway
• Caitlin Margaret McAloon
• Daniel Patrick McGuire, DC
• Kelly McGuire
• Courtney Elizabeth McHugh, LSW
• Kevin J McKeever, DMD

• Mental Health Counselor in Rockaway, NJ
• Providers in Rockaway, 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 Aug 27, 2019; 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.