Individual provider

Jennifer Derisse, LCADC

Addiction (Substance Use Disorder) Counselor Medicare enrolled

Jennifer Derisse, LCADC is an Addiction (Substance Use Disorder) Counselor in Kearny, NJ, registered under NPI 1336784826.

Getting there

The practice address on file is 206 BERGEN AVE, Kearny, NJ 07032. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

206 BERGEN AVE, Kearny, NJ 07032 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
37LC00296100 Addiction (Substance Use Disorder)… primary

Licences are recorded in 0 states: . Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Mental Health Counselor
PAC ID
7113452251
Enrollment ID
I20241126001056

Medicare enrolment is recorded as approved under the provider type Practitioner - Mental Health Counselor. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Addiction (Substance Use Disorder) covers

Definition to come... NUCC Health Care Provider Taxonomy, code 101YA0400X
Behavioral Health & Social Service Providers Counselor Addiction (Substance Use Disorder)

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1336784826 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateNov 8, 2019
Last updatedNov 8, 2019
StatusActive
Sole proprietorNo
CredentialLCADC
Practice address 206 BERGEN AVE
Kearny, NJ 07032
(732) 210-0509
The last update on file is Nov 8, 2019. Providers are only required to update NPPES when their information changes, so an older date does not necessarily mean the details are wrong — but it is worth a quick call before you travel.

Number check

1336784826 passes the NPI check digit test The final digit 6 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 3 3 6 7 8 4 8 2
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 3 6 6 5 8 8 8 4

Sum = 74 · next multiple of 10 = 80 · check digit = 6 · actual last digit = 6

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1336784826?
NPI 1336784826 is the National Provider Identifier assigned to Jennifer Derisse, LCADC in Kearny, NJ. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Addiction (Substance Use Disorder) cover?
Definition to come...
How do I contact Jennifer Derisse, LCADC?
The phone number on file with NPPES is (732) 210-0509, last updated Nov 8, 2019. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Jennifer Derisse, LCADC accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1336784826 a valid number?
Yes. 1336784826 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.