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Johanna Ninoska Cedillo , MA, EDS, LPC

Counselor - Professional β€’ Wayne, NJ

Active NPI 1275190886 Individual Practitioner Female Practitioner
Practice location in NPPES

201 Willowbrook Blvd Ste 300
Wayne, NJ 074707041

Call 9738575333 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

201 Willowbrook Blvd Ste 300

Wayne, NJ 074707041

Telephone 9738575333
Organization at the Same NPPES Address or Phone
The Family Center Facility NPI 1245646132

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

NPI first issued

2019

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 Wayne and New Jersey

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

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Wayne

6.2% of these 48 clinicians have the CMS telehealth indicator.

14.6% of these 48 clinicians are listed by CMS as accepting Medicare assignment.

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: 2025-11-26
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES NJ 37PC00915800
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

9 Historical Events
πŸ‘€
Provider Name / Credentials Updated November 26, 2025

Recorded as JOHANNA CEDILLO, M.A., ED.S, LPC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 26, 2025

Counselor (license number reported to NPPES: NJ 37PC00915800)

πŸ“
Updated Business Mailing Address October 28, 2019

Registered at 201 WILLOWBROOK BLVD STE 300, WAYNE, NJ 074707041 (Tel: 9738575333)

βœ…
NPI Profile Active May 20, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 20, 2019

Registered at 201 WILLOWBROOK BLVD STE 300, WAYNE, NJ 074707041 (Tel: 9738575333)

πŸ“
Business Mailing Address (Initial Record) May 20, 2019

Registered at 1403 WEST ST APT 2, UNION CITY, NJ 070873238 (Tel: 2013887660)

πŸ‘€
Provider Name / Credentials (Initial Record) May 20, 2019

Recorded as JOHANNA CEDILLO, M.A., ED.S, LAC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 20, 2019

Counselor (license number reported to NPPES: NJ 37AC00470800)

🟒
Initial NPI Registration & Enumeration May 20, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1275190886
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 20, 2019
Last Update: November 26, 2025
Sole Proprietor: Yes

Mailing Address

201 Willowbrook Blvd Ste 300

Wayne, NJ 074707041

Phone: 9738575333

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.