Active NPI
Debra Mazza, MED, LPC, GC-C
- Professional Counselor
- Pompton Plains, NJ
National Provider Identifier
1831560630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 37PC00530900
- Practice address
- 933 Route 23 Ste 5
Pompton Plains, NJ 07444-1039 - Phone
- (973) 492-1025
- NPI assigned
- Oct 19, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 37PC00530900 | NJ | Primary |
Addresses
Primary practice location
933 Route 23 Ste 5
Pompton Plains, NJ 07444-1039
Mailing address
933 Route 23 Ste 5
Pompton Plains, NJ 07444-1039
Phone (973) 492-1025
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 5, 2024 through Feb 5, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37PC00530900 | NJ | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521072000000",
"number": "1831560630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "933 ROUTE 23 STE 5",
"city": "POMPTON PLAINS",
"state": "NJ",
"postal_code": "074441039",
"telephone_number": "973-492-1025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "933 ROUTE 23 STE 5",
"city": "POMPTON PLAINS",
"state": "NJ",
"postal_code": "074441039",
"telephone_number": "973-492-1025"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAZZA",
"first_name": "DEBRA",
"name_prefix": "Ms.",
"credential": "MED, LPC, GC-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-10-19",
"last_updated": "2018-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NJ",
"license": "37PC00530900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pompton Plains, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.