Jill Marie Deperi, LPC
Counselor, Professional in Fair Lawn, NJ. Individual provider (NPI-1).
NPI number1508350869
StatusActive
Last updated in NPPESFeb 10, 2020
Details
- NPI
- 1508350869
- Entity type
- Individual (NPI-1)
- Name
- Jill Marie Deperi
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 20, 2018
- Certification date
- Feb 10, 2020
- Last updated
- Feb 10, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - MENTAL HEALTH COUNSELOR
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 37PC00679200 | NJ | Yes |
Practice location
22-08 Route 208 SouthFair Lawn, NJ 07410
Phone 201-261-2800
Mailing address
2 Tecumseh TrailOakland, NJ 07436
Phone 201-788-8207
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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