MEDICARE: DR. MARILYNN FERA NEREO PHD, LPC, LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	37PC00346000	NJ
2	106H00000X	Marriage & Family Therapist	000329-1	NY

General Provider Information

NPI Number	:	1184792442
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARILYNN FERA NEREO PHD, LPC, LMFT

Provider Business Mailing Address
First Line	:	310 HEIGHTS RD
Second Line	:
City	:	RIDGEWOOD
State	:	NJ
Zip	:	07450-2416
Country	:	US
Telephone Number	:	201-447-6535
Fax Number	:	201-652-4903

Provider Business Practice Location Address
First Line	:	310 HEIGHTS RD
Second Line	:
City	:	RIDGEWOOD
State	:	NJ
Zip	:	07450-2416
Country	:	US
Telephone Number	:	201-447-6535
Fax Number	:	201-652-4903

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/02/2006
Last Update Date	:	09/11/2025

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