Active NPI
Beth Dibiase Counseling and Psychotherapy, LLC
- Clinical Social Worker
- Montclair, NJ
National Provider Identifier
1982120341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC05657000
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20171005003232 | NJ | Part B Supplier - Clinic/Group Practice | 5294000915 | Practice locations: Montclair, NJ |
National Provider Directory
National Provider DirectoryNPI 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.