Individual provider Active NPI

Alexandra Lynn Arbuco, LAC

  • Mental Health Counselor
  • Ridgewood, NJ
National Provider Identifier
1336724129
Registry record updated Apr 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
37AC00568700 Issued in NJ
Practice address
120 Chestnut St
Ridgewood, NJ 07450-2504
Phone
(201) 444-3550
NPI assigned
Mar 12, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 37AC00568700 NJ Primary

Addresses

Primary practice location

120 Chestnut St
Ridgewood, NJ 07450-2504

Mailing address

120 Chestnut St
Ridgewood, NJ 07450-2504

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
I20250123000308 NJ Practitioner - Mental Health Counselor 7416486279 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
West Bergen Mental Healthcare Inc.Group PAC ID 0345131272, 25 clinicians

Practice addresses (Care Compare)

140 Chestnut St
Ridgewood, NJ 07450-2599
Phone (201) 444-3550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37AC00568700NJMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
West Bergen Mental Healthcare, Inc. Mental Health CurrentSince Jan 16, 2025 Accepting new patients

Locations

140 Chestnut St
Ridgewood, NJ 07450
Phone (201) 444-2600

120 Chestnut St
Ridgewood, NJ 07450
Phone (201) 444-3550

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": "1615507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618963200000",
    "number": "1336724129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 CHESTNUT ST",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074502504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 CHESTNUT ST",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074502504",
            "telephone_number": "201-444-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARBUCO",
        "first_name": "ALEXANDRA",
        "middle_name": "LYNN",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-12",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00568700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NJ

Sources for this page

Verify at the official NPI Registry.