Rielle Marie Hambrose, LPC, LCADC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

37PC00781000 Issued in NJ

Practice address

111 State Route 35
Cliffwood, NJ 07721-1512

Phone

(732) 727-2555

NPI assigned

Jul 27, 2021

Last updated

Apr 1, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Habit Opco, LLC

  dba Central Jersey Comprehensive Treatment Center

  • Methadone Clinic
  • Cliffwood, NJ
  • NPI 1386888279
  NPD (past)

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

{
    "created_epoch": "1627344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711929600000",
    "number": "1245903228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 WHEATSHEAF RD",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070662734",
            "telephone_number": "732-857-0980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 STATE ROUTE 35",
            "city": "CLIFFWOOD",
            "state": "NJ",
            "postal_code": "077211512",
            "telephone_number": "732-727-2555"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28 Wheatsheaf Rd",
            "address_purpose": "LOCATION",
            "city": "Clark",
            "state": "NJ",
            "postal_code": "070662734",
            "country_code": "US",
            "telephone_number": "732-857-0980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAMBROSE",
        "first_name": "RIELLE",
        "middle_name": "MARIE",
        "credential": "LPC, LCADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-27",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00335200",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC00781000",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elke Fernandez
• Lindsey Paige Frydman, OTD, OTR/L
• Joby K George, PHARMD
• Jeffrey David Goldfarb, DDS
• Habit Opco, LLC (Central Jersey Comprehensive Treatment Center)
• Patricia Hanson, RN
• Kristina Maria Heredia I
• Steven Benjamin Hoffman
• Elizabeth Ianno, RN
• Kehinde Williams Ibitola, APRN, FNP-C

• Mental Health Counselor in Cliffwood, NJ
• Providers in Cliffwood, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; 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.