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Ignacio Perico , MA, LAC, LCADC, NCC

Counselor - Professional β€’ Cliffside Park, NJ

Active NPI 1386300929 Individual Practitioner Male Practitioner
Practice location in NPPES

596 Anderson Ave Ste 305
Cliffside Park, NJ 070101888

Call 2016544086 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

596 Anderson Ave Ste 305

Cliffside Park, NJ 070101888

Telephone 2016544086
Organization at the Same NPPES Address or Phone
Nj Wellness Center Pc Facility NPI 1558752410

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Cliffside Park and New Jersey

4 active clinicians are listed under Counselor - Professional with a practice address in Cliffside Park, NJ (4,116 in New Jersey).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-06-01
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES NJ 37AC00661000
Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

License # reported to NPPES NJ 37LC00373100
Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New Jersey Division of Consumer Affairs.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ‘€
Provider Name / Credentials Updated June 01, 2024

Recorded as IGNACIO PERICO, MA, LAC, LCADC, NCC

βœ…
NPI Profile Active November 09, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) November 09, 2021

Registered at 596 ANDERSON AVE STE 305, CLIFFSIDE PARK, NJ 070101888 (Tel: 2016544086)

πŸ“
Business Mailing Address (Initial Record) November 09, 2021

Registered at 540 38TH ST, UNION CITY, NJ 070872517 (Tel: 2015984344)

πŸ‘€
Provider Name / Credentials (Initial Record) November 09, 2021

Recorded as IGNACIO PERICO, MA, CADC INTERN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 09, 2021

Counselor

🟒
Initial NPI Registration & Enumeration November 09, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1386300929
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 09, 2021
Last Update: June 01, 2024
Sole Proprietor: Yes

Mailing Address

540 38th St

Union City, NJ 070872517

Phone: 2015984344

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.