Justine Rella, LICENSE PROFESSIONAL

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

37PC00688000 Issued in NJ

Practice address

151 W Passaic St Ste 30
Rochelle Park, NJ 07662-3105

Phone

(201) 528-5757

Fax

(973) 200-8137

NPI assigned

Jul 14, 2020

Last updated

Jul 14, 2020By 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 1

Addresses

Other names 1

• Justine Rella Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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

{
    "created_epoch": "1594684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594684800000",
    "number": "1376161596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 924",
            "city": "MAYWOOD",
            "state": "NJ",
            "postal_code": "076070924",
            "telephone_number": "201-528-5757",
            "fax_number": "973-200-8137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 W PASSAIC ST STE 30",
            "city": "ROCHELLE PARK",
            "state": "NJ",
            "postal_code": "076623105",
            "telephone_number": "201-528-5757",
            "fax_number": "973-200-8137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RELLA",
        "first_name": "JUSTINE",
        "credential": "LICENSE PROFESSIONAL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-14",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00688000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUSTINE",
            "last_name": "RELLA",
            "credential": "LICENSE PROFESSIONAL",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Professional Counselor in Rochelle Park, NJ
• Providers in Rochelle Park, NJ by specialty
• Professional Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; 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.