Salvador Emerson Reyes, LPC, LCADC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

37AC00428200 Issued in NJ

Practice address

8901 Kennedy Blvd Ste 4W
North Bergen, NJ 07047-5345

Phone

(201) 757-3800

NPI assigned

Sep 19, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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

Mental Health Counselor

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• North Jersey Wellness Center

  • Mental Health Counselor
  • North Bergen, NJ
  • NPI 1629552963
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1537315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1346724978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "556 ABBOTT AVE",
            "city": "RIDGEFIELD",
            "state": "NJ",
            "postal_code": "076572443",
            "telephone_number": "201-724-2261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 KENNEDY BLVD STE 4W",
            "city": "NORTH BERGEN",
            "state": "NJ",
            "postal_code": "070475345",
            "telephone_number": "201-757-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "SALVADOR",
        "middle_name": "EMERSON",
        "name_prefix": "Mr.",
        "credential": "LPC, LCADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-19",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NJ",
            "license": "37AC00428200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regional Cancer Care Associates LLC
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• Ruby Rey
• Ralph E. Ricciardi Jr., M.D.
• Ridgefield Medical Group
• Ridgefield Medical Services LLC
• Ilonska Anatavel Rivas Prandy
• River Road Medical

• Counselor in North Bergen, NJ
• Providers in North Bergen, NJ by specialty
• Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; 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.