GUSTAVO BERNARDO MEJIA MA, LPC, LCADC
NPI 1639295801
Counselor - Professional in Englewood, NJ

NPI Status: Active since March 21, 2007

Contact Information

61 GRAND AVE
3RD FLOOR
ENGLEWOOD, NJ
ZIP 07631
Phone: (201) 245-1159
Fax: (201) 541-8100

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  • Individual
  • Male
  • Counselor
  • Professional

About GUSTAVO MEJIA

This page provides the complete NPI Profile along with additional information for Gustavo Mejia, a provider established in Englewood, New Jersey with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1639295801 assigned on March 2007. The practitioner's primary taxonomy code is 101YP2500X with license number 37PC00396500 (NJ). The provider is registered as an individual and his NPI record was last updated 14 years ago.

NPI
1639295801
Provider Name
GUSTAVO BERNARDO MEJIA MA, LPC, LCADC
Gender
Male
Entity Type
Individual
Location Address
61 GRAND AVE 3RD FLOOR ENGLEWOOD, NJ 07631
Location Phone
(201) 245-1159
Location Fax
(201) 541-8100
Mailing Address
150 TRYON AVE APT E1 ENGLEWOOD, NJ 07631
Mailing Phone
(201) 245-1159
Mailing Fax
(201) 541-8100
Is Sole Proprietor?
Yes
Enumeration Date
03-21-2007
Last Update Date
08-28-2011
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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

Counselor Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers
License No.
37PC00396500
License State
NJ

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)
1101YA0400XBehavioral Health & Social Service Providers

Counselor
Addiction (Substance Use Disorder)

37LC00170800 (NJ)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
12063531OTHER (01)CAQH

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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.
1639295801
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2669491080
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 6 + 6 + 9 + 4 + 9 + 1 + 0 + 8 + 0 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1639295801 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1013249770HOLISTIC MANUAL PHYSICAL THERAPY, PA
Organization
Clinic/Center (Physical Therapy)61 GRAND AVE
ENGLEWOOD, NJ 07631
(201) 568-2044
1821392473HUDSON RIVER CARE AND COUNSELING, LLC
Organization
Social Worker (Clinical)61 GRAND AVE THIRD FLOOR
ENGLEWOOD, NJ 07631
(201) 962-6443
1952607608MR. MARIO HIPOLITO IRIGOYEN LCSW
Individual
Social Worker (Clinical)61 GRAND AVE
ENGLEWOOD, NJ 07631
(914) 671-3924
1831470723MARIO H IRIGOYEN LCSW - LLC
Organization
Community/Behavioral Health61 GRAND AVE
ENGLEWOOD, NJ 07631
(914) 671-3924
1164790796A JOSEPH & ASSOCIATES LLC
Organization
Social Worker (Clinical)61 GRAND AVE
ENGLEWOOD, NJ 07631
(201) 755-3788
1881958817BUDDIES OF NEW JERSEY, INC.
Organization
Community/Behavioral Health61 GRAND AVE 3RD FLOOR
ENGLEWOOD, NJ 07631
(914) 671-3924
1891020517 LISA STACEY
Individual
Social Worker61 GRAND AVE
ENGLEWOOD, NJ 07631
(201) 568-0239
1639698004 IN YOUNG SOHN
Individual
Social Worker (Clinical)61 GRAND AVE
ENGLEWOOD, NJ 07631
(201) 541-8600

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639295801, enumerated in the NPI registry as an "individual" on March 21, 2007

The provider is located at 61 Grand Ave 3rd Floor Englewood, Nj 07631 and the phone number is (201) 245-1159

The provider's speciality is Counselor with taxonomy code 101YP2500X with a focus in Professional

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on March 21, 2007. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.