Active NPI
Beth Dibiase Counseling and Psychotherapy, LLC
- Clinical Social Worker
- Montclair, NJ
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
- Last updated
- Jul 21, 2022
- 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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
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 DirectoryLocations
8 Hillside Ave
Ste 206
Montclair, NJ 07042
Phone (732) 221-3914
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Montclair, NJ
- NPI 1346274339
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.