Individual provider Active NPI

Carol M Pedro

  • Professional Counselor
  • Westfield, NJ
National Provider Identifier
1336328814
Registry record updated Apr 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00310800 Issued in NJ
Practice address
233 Prospect St
Westfield, NJ 07090-4005
Phone
(908) 233-2042
Fax
(908) 654-7414
NPI assigned
Oct 31, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2010

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 37PC00310800 NJ Primary

Addresses

Primary practice location

233 Prospect St
Westfield, NJ 07090-4005

Mailing address

233 Prospect St
Westfield, NJ 07090-4005
Phone (908) 233-2042

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
I20250327002418 NJ Practitioner - Mental Health Counselor 7719145986 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Youth and Family Counseling Service IncGroup PAC ID 9032142757, 2 clinicians

Practice addresses (Care Compare)

233 Prospect St
Westfield, NJ 07090-4005
Phone (908) 233-2042

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Youth & Family Counseling Service Inc CurrentSince Jan 10, 2025 Accepting new patients
Youth & Family Counseling Service Inc CurrentSince Jan 10, 2025 Accepting new patients

Locations

233 Prospect St
Westfield, NJ 07090
Phone (908) 233-2042

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270425600000",
    "number": "1336328814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 PROSPECT ST",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070904005",
            "telephone_number": "908-233-2042",
            "fax_number": "908-654-7414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 PROSPECT ST",
            "city": "WESTFIELD",
            "state": "NJ",
            "postal_code": "070904005",
            "telephone_number": "908-233-2042",
            "fax_number": "908-654-7414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDRO",
        "first_name": "CAROL",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-31",
        "last_updated": "2010-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00310800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westfield, NJ

Sources for this page

Verify at the official NPI Registry.