Provider Demographics
NPI:1831521624
Name:DE, ADITI VERMA (LMHC, LPC, MA, MED)
Entity type:Individual
Prefix:
First Name:ADITI
Middle Name:VERMA
Last Name:DE
Suffix:
Gender:F
Credentials:LMHC, LPC, MA, MED
Other - Prefix:
Other - First Name:ADITI
Other - Middle Name:
Other - Last Name:VERMA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC, LPC, MA, MED
Mailing Address - Street 1:120 YORK ST APT 404
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07302-3752
Mailing Address - Country:US
Mailing Address - Phone:646-842-1665
Mailing Address - Fax:
Practice Address - Street 1:153 W 27TH ST STE 201
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-6384
Practice Address - Country:US
Practice Address - Phone:917-283-0738
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-02
Last Update Date:2024-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X
NY006719101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)