Luis Virella, LCSW, LCADC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

44SC05660000 Issued in NJ

Practice address

2581 E Chestnut Ave Ste B-3
Vineland, NJ 08361-8487

Phone

(609) 346-8740

NPI assigned

Feb 22, 2016

Reactivated

Mar 27, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Recovery First LLC

  • Mental Health Counselor
  • Vineland, NJ
  • NPI 1609378629

  Addiction (Substance Use Disorder), NJ

  Medicare reassignment NPD Authorized official
• Catholic Charities, Diocese of Trenton

  • Community/Behavioral Health Agency
  • Trenton, NJ
  • NPI 1306888656

  NJ

  Medicare reassignment NPD
• Recovery First LLC

  • Mental Health Counselor
  • Cinnaminson, NJ
  • NPI 1134614647

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1456099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1134588965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2738",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083622738",
            "telephone_number": "609-346-8740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2581 E CHESTNUT AVE STE B-3",
            "city": "VINELAND",
            "state": "NJ",
            "postal_code": "083618487",
            "telephone_number": "609-346-8740"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "504 Route 130 N Ste 201",
            "address_purpose": "LOCATION",
            "city": "Cinnaminson",
            "state": "NJ",
            "postal_code": "080773370",
            "country_code": "US",
            "telephone_number": "609-346-8740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIRELLA",
        "first_name": "LUIS",
        "name_prefix": "Mr.",
        "credential": "LCSW, LCADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-22",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "deactivation_date": "2018-02-22",
        "reactivation_date": "2018-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00241500",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "44SC05660000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vineland Oral Surgeons PA
• Vineland Pediatrics PA
• Vineland Pharma LLC
• Vipin K Gupta
• Vipin Kumar Gupta , MD PA
• Virtua Medical Group, PA
• Veronica Vizzi, RPH, CCP
• Mickel Joseph Voigt
• Tiffany Vuong
• W.E.V. Jr. Inc.

• All providers in Vineland, NJ
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.