Individual provider Active NPI

Devon Rizzo, LPC, LCADC

  • Professional Counselor
  • Florham Park, NJ
National Provider Identifier
1942615307
Registry record updated Jan 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00497800 Issued in NJ
Practice address
135 Columbia Tpke
Suite 201
Florham Park, NJ 07932-2104
Phone
(973) 650-4634
NPI assigned
Jun 24, 2014
Last updated
Jan 29, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 37LC00212300 NJ
Professional Counselor 101YP2500X 37PC00497800 NJ Primary

Addresses

Primary practice location

135 Columbia Tpke
Suite 201
Florham Park, NJ 07932-2104

Mailing address

135 Columbia Tpke
Suite 201
Florham Park, NJ 07932-2104
Phone (973) 650-4634

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 24, 2025 through Mar 24, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
37LC00212300NJMDAddiction (Substance Use Disorder) Counselor
37PC00497800NJMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454025600000",
    "number": "1942615307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 COLUMBIA TPKE",
            "address_2": "SUITE 201",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079322104",
            "telephone_number": "973-650-4634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 COLUMBIA TPKE",
            "address_2": "SUITE 201",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079322104",
            "telephone_number": "973-650-4634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIZZO",
        "first_name": "DEVON",
        "credential": "LPC, LCADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-24",
        "last_updated": "2016-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00212300",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00497800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Florham Park, NJ

Sources for this page

Verify at the official NPI Registry.