Individual provider Active NPI

Ellen Hanft Defilipps, LMFT

  • Marriage & Family Therapist
  • Cedar Grove, NJ
National Provider Identifier
1851452791
Registry record updated Jun 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
000077 Issued in NY
Practice address
91-93 Rte. 23 Pompton Ave.
#1004
Cedar Grove, NJ 07009
Phone
(917) 843-5357
Fax
(914) 636-5231
NPI assigned
Dec 13, 2006
Reactivated
Jun 16, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 37F100203700 NJ
Marriage & Family Therapist 106H00000X 000077 NY Primary

Addresses

Primary practice location

91-93 Rte. 23 Pompton Ave.
#1004
Cedar Grove, NJ 07009

Mailing address

11 Pine St
Apt. 141
Montclair, NJ 07042-4372
Phone (917) 843-5357

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jul 2, 2024 through Jul 2, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
37F100203700NJMDMarriage & Family Therapist
000077NYMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686873600000",
    "number": "1851452791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 PINE ST",
            "address_2": "APT. 141",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070424372",
            "telephone_number": "917-843-5357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-93 RTE. 23 POMPTON AVE.",
            "address_2": "#1004",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "07009",
            "telephone_number": "917-843-5357",
            "fax_number": "914-636-5231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFILIPPS",
        "first_name": "ELLEN",
        "middle_name": "HANFT",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2023-06-16",
        "certification_date": "2023-06-16",
        "deactivation_date": "2023-05-20",
        "reactivation_date": "2023-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NJ",
            "license": "37F100203700",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "000077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Grove, NJ

Sources for this page

Verify at the official NPI Registry.