MEDICARE: LISA ANNE LEIDECKER LPC, LCADC

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	101YA0400X	Addiction (Substance Use Disorder) Counselor	37LC00057200	NJ
2	101YP2500X	Professional Counselor	37PC00020000	NJ

General Provider Information

NPI Number	:	1386755122
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LISA ANNE LEIDECKER LPC, LCADC

Provider Business Mailing Address
First Line	:	13 CLAVENDON CT
Second Line	:
City	:	MIDDLETOWN
State	:	NJ
Zip	:	07748-3533
Country	:	US
Telephone Number	:	973-568-1166
Fax Number	:

Provider Business Practice Location Address
First Line	:	51 UPPER MONTCLAIR PLZ
Second Line	:	SUITE 21
City	:	UPPER MONTCLAIR
State	:	NJ
Zip	:	07043-1343
Country	:	US
Telephone Number	:	973-568-1166
Fax Number	:	732-957-9119

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

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	09/11/2025

Similar Medicare Providers

1073471629 — KEVEN GARCIA-BATISTA
Practice Location Address:

51 UPPER MONTCLAIR PLZ STE 22AND23
MONTCLAIR, NJ
07043-1343

Practice Phone: 973-433-5290
Practice Fax:

1649252032 — MR. DAVID I. BRANDT L.C.S.W.
Practice Location Address:

51 UPPER MONTCLAIR PLZ , RM. 12
UPPER MONTCLAIR, NJ
07043-1343

Practice Phone: 973-746-1933
Practice Fax: 973-783-7940

1851358212 — MS. MARY MARGARET CULLEN-DRILL RN, APN, C
Practice Location Address:

51 UPPER MONTCLAIR PLZ , SUITE 21
UPPER MONTCLAIR, NJ
07043-1343

Practice Phone: 973-477-8628
Practice Fax: 973-744-7163

1215043393 — DR. CAROL L. PORTER EDD
Practice Location Address:

51 UPPER MONTCLAIR PLZ , SUITE #27
UPPER MONTCLAIR, NJ
07043-1343

Practice Phone: 973-783-4511
Practice Fax: 973-783-2844

1043321656 — CUTILLO COUNSELING & CONSULTATION SERVICES, INC.
Practice Location Address:

51 UPPER MONTCLAIR PLZ , SUITE 21
UPPER MONTCLAIR, NJ
07043-1343

Practice Phone: 973-509-9440
Practice Fax: 973-509-2337

1992802581 — DR. BEHNAZ PAKIZEGI PH.D.
Practice Location Address:

51 UPPER MONTCLAIR PLZ , SUITE 15
MONTCLAIR, NJ
07043-1343

Practice Phone: 973-454-3676
Practice Fax: 206-600-6507

Directions to “ LISA ANNE LEIDECKER LPC, LCADC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.