Individual provider Active NPI

Ronald Redmerski, LPC

  • Professional Counselor
  • Mount Arlington, NJ
National Provider Identifier
1033625124
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00612500 Issued in NJ
Practice address
22 Howard Blvd Ste 101
Mount Arlington, NJ 07856-1532
Phone
(973) 770-7600
NPI assigned
Dec 27, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 37PC00612500 NJ Primary

Addresses

Primary practice location

22 Howard Blvd Ste 101
Mount Arlington, NJ 07856-1532

Mailing address

22 Howard Blvd Ste 101
Mount Arlington, NJ 07856-1532
Phone (973) 770-7600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240423003669 NJ Practitioner - Mental Health Counselor 0941649982 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New Jersey Behavioral Health PCGroup PAC ID 4284001025, 127 clinicians

Practice addresses (Care Compare)

4 Century Dr
Suite 100
Parsippany, NJ 07054-4606
Phone (732) 982-2888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
New Jersey Behavioral Health P.C CurrentSince Apr 16, 2024 Accepting new patients
Strength for Girlhood Past Accepting new patients
PHC of Buffalo Grove Clinical Psychology Past Accepting new patients
Strength for Change, LLC Professional Past Accepting new patients

Locations

150 Morristown Rd
Ste 108
Bernardsville, NJ 07924
Phone (844) 259-2366

4 Century Dr
Ste 100
Parsippany, NJ 07054
Phone (844) 296-0630

88 Princeton Hightstown Rd
Ste 202
West Windsor, NJ 08550
Phone (609) 497-4900

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1514332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1033625124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 HOWARD BLVD STE 101",
            "city": "MOUNT ARLINGTON",
            "state": "NJ",
            "postal_code": "078561532",
            "telephone_number": "973-770-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 HOWARD BLVD STE 101",
            "city": "MOUNT ARLINGTON",
            "state": "NJ",
            "postal_code": "078561532",
            "telephone_number": "973-770-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDMERSKI",
        "first_name": "RONALD",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-12-27",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00612500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Arlington, NJ

Sources for this page

Verify at the official NPI Registry.