Individual provider Active NPI

Barbara Pellichero, LPC

  • Professional Counselor
  • Freehold, NJ
National Provider Identifier
1205306388
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00742200 Issued in NJ
Practice address
4249 Route 9 N Unit D
Freehold, NJ 07728-8308
Phone
(732) 239-5449
NPI assigned
Nov 30, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 37AC00425900 NJ
Professional Counselor 101YP2500X
Professional Counselor 101YP2500X 37PC00742200 NJ Primary

Addresses

Primary practice location

4249 Route 9 N Unit D
Freehold, NJ 07728-8308

Mailing address

4400 Route 9 S Ste 1000
Freehold, NJ 07728-1383
Phone (732) 239-5449

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
37AC00425900NJMDMental Health Counselor
37PC00742200NJMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Tree of Life Counseling Center, LLC Mental Health PastSince Oct 1, 2022 Accepting new patients

Organizations & group practices 1

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": "1543536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1205306388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 ROUTE 9 S STE 1000",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077281383",
            "telephone_number": "732-239-5449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4249 ROUTE 9 N UNIT D",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077288308",
            "telephone_number": "732-239-5449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELLICHERO",
        "first_name": "BARBARA",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-30",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00425900",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00742200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.