Rolando Watley, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

37PC00958900 Issued in NJ

Practice address

1300 Rachel Ter Apt 9
Pine Brook, NJ 07058-9301

Phone

(646) 301-8760

NPI assigned

Dec 3, 2019

Last updated

Jun 22, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: lifestancehealth.rolandowatley@148376.advancedmd-direct.com

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.

• New Jersey Behavioral Health P.C

  • Psychologist
  • Princeton Junction, NJ
  • NPI 1538744297
  NPD (past)

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

{
    "created_epoch": "1575331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719014400000",
    "number": "1558908137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 RACHEL TER APT 9",
            "city": "PINE BROOK",
            "state": "NJ",
            "postal_code": "070589301",
            "telephone_number": "646-301-8760",
            "fax_number": "847-859-5885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 RACHEL TER APT 9",
            "city": "PINE BROOK",
            "state": "NJ",
            "postal_code": "070589301",
            "telephone_number": "646-301-8760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATLEY",
        "first_name": "ROLANDO",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-03",
        "last_updated": "2024-06-22",
        "certification_date": "2024-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00496900",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00958900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sweet Angels Home Care
• Reema Tajdar
• Cynthia Thomas, MS CCC-SLP
• Rebecca Thomas, SLP
• Briza V Walter, M.D.
• Wayfare Counseling, LLC
• Toni Lynn Weeks, LPC
• Christopher Wilkes
• Weihao Xie
• Lily Yang, APN

• Professional Counselor in Pine Brook, NJ
• Providers in Pine Brook, 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 Jun 22, 2024; 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.