Individual provider Active NPI

Aimee Desheplo, LPC

  • Marriage & Family Therapist
  • Ridgewood, NJ
National Provider Identifier
1891218566
Registry record updated Apr 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
37PC00768000 Issued in NJ
Practice address
513 Jemco PL
Ridgewood, NJ 07450-5409
Phone
(201) 906-8213
NPI assigned
Jul 25, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X
Marriage & Family Therapist 106H00000X 37AC00369500 NJ
Marriage & Family Therapist 106H00000X 37PC00768000 NJ Primary

Addresses

Primary practice location

513 Jemco PL
Ridgewood, NJ 07450-5409

Mailing address

513 Jemco PL
Ridgewood, NJ 07450-5409

Other practice location 1

120 Chestnut Street
Ridgewood, NJ 07450
Phone (201) 906-8213

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251208002049 NJ Practitioner - Mental Health Counselor 3173017167 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Bergen Mental Healthcare Inc.Group PAC ID 0345131272, 25 clinicians

Practice addresses (Care Compare)

140 Chestnut St
Ridgewood, NJ 07450-2599
Phone (201) 444-3550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37AC00369500NJMDMarriage & Family Therapist
37PC00768000NJMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
West Bergen Mental Healthcare, Inc. Marriage & Family Therapist CurrentSince Aug 30, 2025 Accepting new patients

Locations

140 Chestnut St
Ridgewood, NJ 07450
Phone (201) 444-2600

120 Chestnut St
Ridgewood, NJ 07450
Phone (201) 444-3550

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.

NPI Registry JSON

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

{
    "created_epoch": "1500940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649894400000",
    "number": "1891218566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "513 JEMCO PL",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074505409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 JEMCO PL",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074505409",
            "telephone_number": "201-906-8213"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Chestnut Street",
            "address_purpose": "LOCATION",
            "city": "Ridgewood",
            "state": "NJ",
            "postal_code": "07450",
            "country_code": "US",
            "telephone_number": "201-906-8213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESHEPLO",
        "first_name": "AIMEE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-25",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NJ",
            "license": "37AC00369500",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NJ",
            "license": "37PC00768000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NJ

Sources for this page

Verify at the official NPI Registry.