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

Jennifer D Derisse, LCADC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1336784826

Jennifer D Derisse, LCADC is a Mental Health Counselor in Kearny, New Jersey. Qualified in 2015, 11 years ago. Practices with Serv Centers of New Jersey, Inc, an 11-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
11
In the registry since
2019

Practice location Address checks out

206 Bergen Ave
Kearny, NJ 07032-3384
Phone: (732) 210-0509
Show map & directions

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

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 37LC00296100

Record details

NPI number1336784826
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCADC
Sole proprietorNo
NPI enumeratedNovember 8, 2019
Last updated in NPPESNovember 8, 2019

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Serv Centers Of New Jersey, Inc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Kearny