Individual provider Active NPI

Lauren Ashley Rydelek, LPC

  • Mental Health Counselor
  • Scotch Plains, NJ
National Provider Identifier
1528601580
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
37PC00673800 Issued in NJ
Practice address
551 Park Ave Ste 7
Scotch Plains, NJ 07076-1768
Phone
(908) 591-4392
NPI assigned
Oct 22, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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 37PC00673800 NJ Primary

Addresses

Primary practice location

551 Park Ave Ste 7
Scotch Plains, NJ 07076-1768

Mailing address

551 Park Ave Ste 7
Scotch Plains, NJ 07076-1768
Phone (908) 322-9623

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37PC00673800NJMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1571702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1528601580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 PARK AVE STE 7",
            "city": "SCOTCH PLAINS",
            "state": "NJ",
            "postal_code": "070761768",
            "telephone_number": "908-322-9623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 PARK AVE STE 7",
            "city": "SCOTCH PLAINS",
            "state": "NJ",
            "postal_code": "070761768",
            "telephone_number": "908-591-4392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYDELEK",
        "first_name": "LAUREN",
        "middle_name": "ASHLEY",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-22",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC00673800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scotch Plains, NJ

Sources for this page

Verify at the official NPI Registry.