Elise Frances Feller, LCSW

Individual provider Active NPI Mental Health Counselor · River Edge, NJ

NPI 1922294396 · NPPES record last updated Jun 9, 2009

Key facts

NPI
1922294396
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
44SC05165500 (NJ)
Practice address
117 Kinderkamack Rd
Suite 200
River Edge, NJ 07661-1941
Phone
(201) 441-9335
NPI assigned
Sep 19, 2007
Sex
Female
Sole proprietor
No

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)
Yes

State licenses

LicenseStateTypeSpecialty
44SC05165500NJMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Yvonne E. Sedar Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 44SC05165500 NJ Yes

Addresses

Primary practice location

117 Kinderkamack Rd
Suite 200
River Edge, NJ 07661-1941

Mailing address

117 Kinderkamack Rd
Suite 200
River Edge, NJ 07661-1941
Phone (201) 441-9335

Other providers in River Edge, NJ

All providers in River Edge, NJ · Mental Health Counselor in New Jersey

Sources for this page

Verify at the official NPI Registry.