Provider Demographics
NPI:1700533692
Name:ORISTANIO, CHARLENE (LPC)
Entity type:Individual
Prefix:
First Name:CHARLENE
Middle Name:
Last Name:ORISTANIO
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:CHARLENE
Other - Middle Name:
Other - Last Name:JUENGLING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:32 OAKLAND AVE
Mailing Address - Street 2:APT 725
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07306
Mailing Address - Country:US
Mailing Address - Phone:201-661-8070
Mailing Address - Fax:
Practice Address - Street 1:220 9TH STREET
Practice Address - Street 2:SUITE 2060
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07302
Practice Address - Country:US
Practice Address - Phone:973-936-8181
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-09
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
37PC00967700101YM0800X
NJ37AC00597900101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor