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

Desira Douglas

Individual provider Mental Health Counselor · NPI 1932051851

Desira Douglas is a Mental Health Counselor in Paterson, New Jersey. Qualified in 2014, 12 years ago. Practices as a sole proprietor. Licensed in New Jersey.

Years since qualifying
12
Licensed in
NJ
In the registry since
2026

Practice location Address checks out

141 Jasper St
Paterson, NJ 07522-1947
Phone: (973) 885-7317
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 37PC01225300 (NJ)

Record details

NPI number1932051851
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 12, 2026
Last updated in NPPESFebruary 12, 2026
Certification dateFebruary 12, 2026
Mailing address141 Jasper St, Paterson, NJ 07522-1947

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Paterson