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

Nicholas Desisto

Individual provider Professional Counselor · NPI 1487319158

Nicholas Desisto is a Mental Health Counselor in Eatontown, New Jersey. Qualified in 2020, 6 years ago. Practices with Premier Mental and Behavioral Services, Inc, a 6-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
6
Licensed in
NJ
In the registry since
2021
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Practice location Address checks out

615 Hope Rd Ste 3B
Eatontown, NJ 07724-1273
Phone: (732) 724-1234
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6 Cornwall Ct Ste B, East Brunswick, NJ 08816-3347 — (732) 955-4141

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X (NJ)

Record details

NPI number1487319158
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedNovember 7, 2021
Last updated in NPPESNovember 7, 2021
Certification dateNovember 7, 2021

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Premier Mental And Behavioral Services, Inc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Eatontown