Theresa M Pedernera, LCSW, LCADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

37LC00270400 Issued in NJ

Practice address

280 Newton Sparta Rd Ste 2
Newton, NJ 07860-2775

Phone

(973) 786-3535

Fax

(973) 786-1591

NPI assigned

Apr 10, 2018

Last updated

Jul 17, 2019By the provider in NPPES

Sex

Female

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)

Enrolled

State licenses

Practice roles

Locations

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.

• Center for Hope Counseling

  • Mental Health Counselor
  • Newton, NJ
  • NPI 1053022145
  NPD Authorized official

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

{
    "created_epoch": "1523318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563321600000",
    "number": "1801393582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 WOODLAWN RD",
            "city": "SPARTA",
            "state": "NJ",
            "postal_code": "078712103",
            "telephone_number": "973-980-6147",
            "fax_number": "973-298-2163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 NEWTON SPARTA RD STE 2",
            "city": "NEWTON",
            "state": "NJ",
            "postal_code": "078602775",
            "telephone_number": "973-786-3535",
            "fax_number": "973-786-1591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDERNERA",
        "first_name": "THERESA",
        "middle_name": "M",
        "credential": "LCSW, LCADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-10",
        "last_updated": "2019-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00270400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vandankumar Patel, MD
• David Elliott Pattison
• Anne Paulsen
• Adam M Paxton, MD
• Ewelina Pazmino, PMHNP-BC, APN
• Pediatric Family Health Center LLC
• Pete Perdikos
• Valerie Page Perdue, PHD
• Harold S. Perlmutter, MD
• Mark Perrin, M.D.

• Addiction (Substance Use Disorder) Counselor in Newton, NJ
• Providers in Newton, NJ by specialty
• Addiction (Substance Use Disorder) Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.