Ava Luciana Berenato, LAC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

37AC00825100 Issued in NJ

Practice address

175 Kinderkamack Rd # 1042
Park Ridge, NJ 07656-1335

Phone

(856) 433-4397

NPI assigned

Feb 19, 2025

Last updated

Feb 19, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1739923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739923200000",
    "number": "1831994110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 PINE AVE",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080433630",
            "telephone_number": "856-298-6685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 KINDERKAMACK RD # 1042",
            "city": "PARK RIDGE",
            "state": "NJ",
            "postal_code": "076561335",
            "telephone_number": "856-433-4397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERENATO",
        "first_name": "AVA",
        "middle_name": "LUCIANA",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-19",
        "last_updated": "2025-02-19",
        "certification_date": "2025-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NJ",
            "license": "37AC00825100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counselor in Park Ridge, NJ
• Providers in Park Ridge, NJ by specialty
• Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; 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.