Richard Lovis Gariolo, LPC – Mental Health Counselor

Key facts

NPI: 1356490171
Entity type: Individual (NPI type 1)
Primary specialty: Mental Health Counselor 101YM0800X
License: 37PC00001100 (NJ)
Practice address: 12 Lincoln Boulevard
Suite 206
Emerson, NJ 07630-1173
Phone: (201) 967-9333
Fax: (201) 967-9466
NPI assigned: Jan 10, 2007
Sex: Male
Sole proprietor: No

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.

Richard Gariolo LLC Mental Health Counselor · Emerson, NJ · NPI 1811049836

NPD (past) Authorized official MENTAL HEALTH

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
37PC00001100	NJ	MD	Mental Health Counselor

Practice roles

Organization	Specialty	Status	New patients
Richard Gariolo LLC	Mental Health	Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Mental Health Counselor	101YM0800X	37PC00001100	NJ	Yes

Addresses

Primary practice location

12 Lincoln Boulevard
Suite 206
Emerson, NJ 07630-1173

Mailing address

12 Lincoln Boulevard
Suite 206
Emerson, NJ 07630-1173
Phone (201) 967-9333

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 8, 2007.

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356490171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 LINCOLN BOULEVARD",
            "address_2": "SUITE 206",
            "city": "EMERSON",
            "state": "NJ",
            "postal_code": "076301173",
            "telephone_number": "201-967-9333",
            "fax_number": "201-967-9466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 LINCOLN BOULEVARD",
            "address_2": "SUITE 206",
            "city": "EMERSON",
            "state": "NJ",
            "postal_code": "076301173",
            "telephone_number": "201-967-9333",
            "fax_number": "201-967-9466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARIOLO",
        "first_name": "RICHARD",
        "middle_name": "LOVIS",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC00001100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Emerson, NJ

All providers in Emerson, NJ · Mental Health Counselor in New Jersey

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.