DR. LISA MARCELINO MA, PHD, LMFT
NPI 1083145270
Marriage & Family Therapist in Metuchen, NJ
NPI Status: Active since March 21, 2017
- Individual
- Female
- Marriage & Family Therapist
- Accepts Insurance
- Opted-Out Medicare
About LISA MARCELINO
This page provides the complete NPI Profile along with additional information for Lisa Marcelino, a provider established in Metuchen, New Jersey with a medical specialization in Marriage & Family Therapist. The healthcare provider is registered in the NPI registry with number 1083145270 assigned on March 2017. The practitioner's primary taxonomy code is 106H00000X with license number 37FI00216100 (NJ). The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1083145270
- Provider Name
- DR. LISA MARCELINO MA, PHD, LMFT
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 3 CALVIN PL METUCHEN, NJ 08840
- Location Phone
- (201) 273-8098
- Mailing Address
- 211 CLIFF AVE SOUTH AMBOY, NJ 08879
- Mailing Phone
- (732) 877-9811
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 03-21-2017
- Last Update Date
- 08-11-2023
- Code Navigator
A marriage and family therapist like Lisa Marcelino help patients manage problems with their family and other relationships. Marriage and family therapists encourage clients to discuss their emotions and experiences and, develop strategies and skills to change behavior and cope with difficult situations. Many therapists apply cognitive behavioral therapy to help patients understand harmful thoughts, feelings, and also teach patients how to replace them with positive, life-enhancing ones.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Lisa Marcelino opted out of Medicare effective on 01-01-2024 until 01-01-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Marriage & Family Therapist
- Taxonomy Code
- 106H00000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 37FI00216100
- License State
- NJ
- Taxonomy Description
- A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 106H00000X | Behavioral Health & Social Service Providers | Marriage & Family Therapist | MFT-842 (HI) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- HMSA Bronze PPO I - PPO
- HMSA Bronze PPO II HSA - PPO
- HMSA Catastrophic Plan - PPO
- HMSA Gold PPO I - PPO
- HMSA Gold PPO II - PPO
- HMSA Platinum PPO - PPO
- HMSA Silver PPO - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 01-01-2024
Opt-Out End Date: 01-01-2026
Eligible to Order and Refer? No
Reviews for DR. LISA MARCELINO MA, PHD, LMFT
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 8 | 3 | 1 | 4 | 5 | 2 | 7 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 16 | 3 | 2 | 4 | 10 | 2 | 14 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 1 + 6 + 3 + 2 + 4 + 1 + 0 + 2 + 1 + 4 + 24 = 50 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1083145270 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 5 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1922710094 | EMPOWERING MINDS COUNSELING CENTER LIMITED LIABILITY COMPANY Organization | Social Worker (Clinical) | 3 CALVIN PL METUCHEN, NJ 08840 (848) 236-7344 |
| 1255038600 | MELODY CANDA SMITH ,MA, LAC, NCC Individual | Counselor (Mental Health) | 3 CALVIN PL METUCHEN, NJ 08840 (201) 273-8098 |
| 1811686181 | REEMA PATEL Individual | Marriage & Family Therapist | 3 CALVIN PL METUCHEN, NJ 08840 (201) 273-8098 |
| 1356121149 | JAUNAI STATON Individual | Marriage & Family Therapist | 3 CALVIN PL METUCHEN, NJ 08840 (201) 273-8098 |
| 1063267862 | TAYLOR MARIE ZANON Individual | Marriage & Family Therapist | 3 CALVIN PL METUCHEN, NJ 08840 (201) 273-8098 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1083145270, enumerated in the NPI registry as an "individual" on March 21, 2017
The provider is located at 3 Calvin Pl Metuchen, Nj 08840 and the phone number is (201) 273-8098
The provider's speciality is Marriage & Family Therapist with taxonomy code 106H00000X
The provider might be accepting Accepts: HMSA. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
No, the provider signed an affidavit on January 01, 2024 to opt-out of the Medicare program. The provider is excluded from the Medicare program until January 01, 2026.
This NPI record was last updated on March 21, 2017. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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