Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Marisa P Distefano LPC LLC

Organization Mental Health Counselor · NPI 1194532861

Marisa P Distefano LPC LLC is a Mental Health Counselor in Ridgewood, New Jersey. Works from 2 locations. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

172 Franklin Ave Ste 4B
Ridgewood, NJ 07450-3229
Phone: (201) 446-4669
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 422 Cedar Hill Ave, Wyckoff, NJ 07481-2219 — (201) 446-4669

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1194532861
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marisa Distefano — Owner · (201) 446-4669
NPI enumeratedDecember 16, 2024
Last updated in NPPESDecember 27, 2024
Certification dateDecember 27, 2024
Mailing address172 Franklin Ave Ste 4b, Ridgewood, NJ 07450-3229

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