Provider Demographics
NPI:1386159978
Name:CARIANI, ALYSSA MICHELE (LPC, LCADC)
Entity type:Individual
Prefix:
First Name:ALYSSA
Middle Name:MICHELE
Last Name:CARIANI
Suffix:
Gender:F
Credentials:LPC, LCADC
Other - Prefix:
Other - First Name:ALYSSA
Other - Middle Name:
Other - Last Name:CARIANI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC, LCADC
Mailing Address - Street 1:22 GOLTRA DR
Mailing Address - Street 2:
Mailing Address - City:BASKING RIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07920-2448
Mailing Address - Country:US
Mailing Address - Phone:908-337-1519
Mailing Address - Fax:
Practice Address - Street 1:150 MORRIS AVE STE 103
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:NJ
Practice Address - Zip Code:07081-1315
Practice Address - Country:US
Practice Address - Phone:908-337-1519
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-05
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37LC00263400101YA0400X
NJ37PC00596100101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)