Joseph Michael Albistur, LPC

Individual provider Active NPI Professional Counselor · Bergenfield, NJ

NPI 1801426994 · NPPES record last updated Jan 17, 2020

Key facts

NPI
1801426994
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
37PC00656500 (NJ)
Practice address
255 W Main St
Bergenfield, NJ 07621-1539
Phone
(201) 401-6833
NPI assigned
Jan 17, 2020
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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
37PC00656500NJMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Moving on the Spectrum LLC Current
since Mar 9, 2020
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 37PC00656500 NJ Yes

Addresses

Primary practice location

255 W Main St
Bergenfield, NJ 07621-1539

Mailing address

255 W Main St
Bergenfield, NJ 07621-1539
Phone (201) 401-6833

Other providers in Bergenfield, NJ

All providers in Bergenfield, NJ · Professional Counselor in New Jersey

Sources for this page

Verify at the official NPI Registry.