MR. BENEDICT VICARISI EDS LMFT LPC CRC NPI 1144328931

NPI Information

NPI: 1144328931
Provider Name: MR. BENEDICT VICARISI, EDS LMFT LPC CRC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
395 PLEASANT VALLEY WAY
WEST ORANGE, NJ
ZIP 07052
Phone: (973) 495-1818
Get Directions

MR. Benedict Vicarisi, EDS LMFT LPC CRC is a professional counselor in West Orange, NJ. MR. Benedict Vicarisi, EDS LMFT LPC CRC NPI is 1144328931. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

395 PLEASANT VALLEY WAY
WEST ORANGE, NJ
ZIP 07052
Phone: (973) 495-1818
Fax: (973) 731-7544

The enumeration date for this NPI number is 9/20/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	PC01046	NEW JERSEY	Yes
2	106H00000X	Marriage & Family Therapist		FI0014959	NEW JERSEY	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P2728931	OTHER	NEW JERSEY	OXFORD
2	232752	OTHER	NEW JERSEY	HEALTH NET MANAGED CARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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