Individual provider Active NPI

Rene Bavosa

  • Professional Counselor
  • Branchburg, NJ
National Provider Identifier
1114795358
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
971 Route 202 N Ste 3
Branchburg, NJ 08876-3757
Phone
(908) 800-9590
NPI assigned
Dec 18, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

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 Primary

Addresses

Primary practice location

971 Route 202 N Ste 3
Branchburg, NJ 08876-3757

Mailing address

971 Route 202 N Ste 3
Branchburg, NJ 08876-3757
Phone (908) 800-9590

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
I20240202000160 NJ Practitioner - Mental Health Counselor 7911350251 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cognicare Psychological Services LLCGroup PAC ID 6608204334, 7 clinicians

Practice addresses (Care Compare)

971 US Hwy 202 N
Suite 3
Branchburg, NJ 08876-3757
Phone (908) 800-9590

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cognicare Psychological Services LLC CurrentSince Jan 1, 2024 Accepting new patients
Cognicare Psychological Services LLC CurrentSince May 26, 2024 Accepting new patients

Locations

971 US Highway 202 N
Ste 3
Branchburg, NJ 08876
Phone (908) 255-4687

Organizations & group practices 2

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": "1702857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1114795358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "971 ROUTE 202 N STE 3",
            "city": "BRANCHBURG",
            "state": "NJ",
            "postal_code": "088763757",
            "telephone_number": "908-800-9590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "971 ROUTE 202 N STE 3",
            "city": "BRANCHBURG",
            "state": "NJ",
            "postal_code": "088763757",
            "telephone_number": "908-800-9590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAVOSA",
        "first_name": "RENE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-18",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Branchburg, NJ

Sources for this page

Verify at the official NPI Registry.