Organization Active NPI

Beth Dibiase Counseling and Psychotherapy, LLC

  • Clinical Social Worker
  • Montclair, NJ
National Provider Identifier
1982120341
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05657000 Issued in NJ
Legal business name
BETH DIBIASE COUNSELING AND PSYCHOTHERAPY, LLC
Practice address
8 Hillside Ave Ste 206
Montclair, NJ 07042
Phone
(973) 826-0409
NPI assigned
Aug 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Beth Dibiase Fiorarancio, LCSW
Title
Owner
Phone
(973) 826-0409

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 44SC05657000 NJ Primary

Addresses

Primary practice location

8 Hillside Ave Ste 206
Montclair, NJ 07042

Mailing address

8 Hillside Ave Ste 206
Montclair, NJ 07042-2129
Phone (973) 826-0409

Other practice location 1

622-624 Valley Rd Ste 6B
Upper Montclair, NJ 07043-1462
Phone (973) 826-0409

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171005003232 NJ Part B Supplier - Clinic/Group Practice 5294000915 Practice locations: Montclair, NJ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1502928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1982120341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 HILLSIDE AVE STE 206",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422129",
            "telephone_number": "973-826-0409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 HILLSIDE AVE STE 206",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "07042",
            "telephone_number": "973-826-0409"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "622-624 Valley Rd Ste 6B",
            "address_purpose": "LOCATION",
            "city": "Upper Montclair",
            "state": "NJ",
            "postal_code": "070431462",
            "country_code": "US",
            "telephone_number": "973-826-0409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BETH DIBIASE COUNSELING AND PSYCHOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-17",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "FIORARANCIO",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "DIBIASE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-826-0409",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05657000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.