NPPES file of Aug 9, 2026

Jennifer D. Derisse, LCADC

Addiction (Substance Use Disorder) Counselor · Kearny, NJ

Jennifer D. Derisse, LCADC is an addiction (substance use disorder) counselor with a practice address in Kearny, New Jersey, and NPI 1336784826, issued on Nov 8, 2019. Check the license with the New Jersey board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1336784826
Name
Jennifer D. Derisse
Credential
LCADC
Primary taxonomy
Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice location
206 Bergen Ave, Kearny, NJ 07032
Phone
(732) 210-0509
Enumerated
Nov 8, 2019
Record last updated
Nov 8, 2019 (not updated in 7 years: call before relying on the address or phone)
Medicare enrollment
Enrolled (PECOS I20241126001056); accepts Medicare assignment
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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8 nearest addiction (substance use disorder) counselor records → All 1,226 in New Jersey → Look up another NPI →

Also registered at 206 Bergen Ave

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. David AltamiranoAddiction (Substance Use Disorder) Counselor1598358699
  2. Kristin Charalambidis, MA,LAC,NCCCounselor1720549801
  3. Prakash Doshi, M.D.Internal Medicine Physician1790733491
  4. Tia Evangelista, PT, DPTPhysical Therapist1417836743
  5. Subhathra Karunanithi, M.DFamily Medicine Physician1992855258
  6. Dagoberto Rojas, DPTPhysical Therapist1336028067

Verify Jennifer D. Derisse in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich New Jersey board licenses this professionCheck the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the New Jersey license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Bills Medicare through one group practice

  1. Serv Centers OF New Jersey, IncClifton, NJ

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Jennifer D. Derisse among 1,226 addiction (substance use disorder) counselor records in New Jersey

Jennifer D. Derisse, LCADC is one of 1,226 addiction (substance use disorder) counselor records with a practice address in New Jersey. 2% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2019, is newer than 45% of them.

  • NPI issued2019 · 45% of these records are older, 50% newer
  • In a Medicare fileYes · 2% of these records are
  • In the CMS Doctors and Clinicians fileYes · 4% of these records are
  • Graduated2015 · median 2013 among the 47 with a school on file
  • Record last updated2019 · 50% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 101YA0400X and a New Jersey practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

5 addiction (substance use disorder) counselor records list a practice address in Kearny

They are 5 of the 258 NPPES records with a practice address in Kearny, and 1,226 addiction (substance use disorder) counselor records in New Jersey.

All 1,226 in New Jersey → Every provider in Kearny → Addiction (Substance Use Disorder) Counselor nationwide →

The 8 addiction (substance use disorder) counselor records with the nearest ZIP codes

  1. David AltamiranoKearny, NJ 070321598358699
  2. Jennifer Collins, CADCKearny, NJ 070321972227932
  3. William MicchelliKearny, NJ 070321679708267
  4. Doris Vallejo, LAC, LCADCKearny, NJ 070321649805375
  5. Assaf Amos, LCSW, LCADCHoboken, NJ 070301518384288
  6. Shelby Baker, LCADCHoboken, NJ 070301548107311
  7. Sally Davis, CNS AND LCADCHoboken, NJ 070301538287842
  8. Paula Diaz, LCSWHoboken, NJ 070301801004726

Common questions

What is Jennifer D. Derisse, LCADC's NPI number?

Jennifer D. Derisse, LCADC's National Provider Identifier (NPI) is 1336784826, issued on Nov 8, 2019. An NPI identifies a provider in billing; it is not a license.

Where is Jennifer D. Derisse, LCADC located?

The NPPES record lists a practice address at 206 Bergen Ave, Kearny, NJ, 07032. Phone: (732) 210-0509. Providers update this record themselves, so call before visiting.

How can I verify Jennifer D. Derisse, LCADC's license?

Search the New Jersey board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Written with AI tools from the named public files; every figure is computed from those files (how it is made).

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.