Marily Reyes Berndt, NCC, LPC

Individual provider Active NPI Mental Health Counselor · River Vale, NJ

NPI 1780925974 · NPPES record last updated Nov 16, 2016

Key facts

NPI
1780925974
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
37PC00540400 (NJ)
Practice address
645 Westwood Ave
River Vale, NJ 07675-6295
Phone
(201) 424-7787
NPI assigned
Mar 13, 2013
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
37PC00540400NJMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 37PC00540400 NJ Yes

Addresses

Primary practice location

645 Westwood Ave
River Vale, NJ 07675-6295

Mailing address

645 Westwood Ave
River Vale, NJ 07675-6295

Other providers in River Vale, NJ

All providers in River Vale, NJ · Mental Health Counselor in New Jersey

Sources for this page

Verify at the official NPI Registry.