Laura Dicarlo, LAC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

37AC00373000 Issued in NJ

Practice address

312 Applegarth Rd Ste 200
Monroe Township, NJ 08831-5347

Phone

(732) 655-4239

NPI assigned

Sep 24, 2017

Last updated

Sep 24, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

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, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Awaken Wellness LLCGroup PAC ID 1254688484, 14 clinicians

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

• Awaken Wellness, LLC

  • Clinical Social Worker
  • Warren, NJ
  • NPI 1063900967
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1506211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506211200000",
    "number": "1386153278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 SWAYZE ST",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070522026",
            "telephone_number": "908-565-6394"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 APPLEGARTH RD STE 200",
            "city": "MONROE TOWNSHIP",
            "state": "NJ",
            "postal_code": "088315347",
            "telephone_number": "732-655-4239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICARLO",
        "first_name": "LAURA",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-24",
        "last_updated": "2017-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00373000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Michael Defendorf, D.O.
• Tobia Delgiudice, MSW LCSW
• Dental Care of Monroe, LLC
• Jennifer Deo
• Destined 2 Grow LLC.
• Mark Joseph Donlon, OD
• Kathleen Mary Dreyfuss
• Eden Touch Home Care LLC
• Rose N Egbutu
• Eihab Human Services New Jersey, Inc.

• Mental Health Counselor in Monroe Township, NJ
• Providers in Monroe Township, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2017; 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.