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

Mignolia Placencia

Individual provider Professional Counselor · NPI 1124616446

Mignolia Placencia is a Mental Health Counselor in Wayne, New Jersey. Qualified in 2015, 11 years ago. Licensed in New Jersey.

Years since qualifying
11
Licensed in
NJ
In the registry since
2021

Practice location Address checks out

1401 Valley Rd
Wayne, NJ 07470-2073
Phone: (973) 368-7781
Show map & directions

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

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 37AC00473300 (NJ)

Record details

NPI number1124616446
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 3, 2021
Last updated in NPPESJanuary 3, 2021
Certification dateJanuary 3, 2021
Mailing address113 Knolls Rd, Bloomingdale, NJ 07403-1513

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)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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