Individual provider Active NPI

Marangely Lopez Rodriguez

  • Professional Counselor
  • Old Bridge, NJ
National Provider Identifier
1669005153
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC01133500 Issued in NJ
Practice address
33 Appletree LN Apt D
Old Bridge, NJ 08857-4758
Phone
(787) 452-2693
NPI assigned
Feb 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 37PC01133500 NJ Primary

Addresses

Primary practice location

33 Appletree LN Apt D
Old Bridge, NJ 08857-4758

Mailing address

33 Appletree LN Apt D
Old Bridge, NJ 08857-4758
Phone (787) 452-2693

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20251209003372 NJ Practitioner - Mental Health Counselor 4082108956 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mental Health Specialty Group NJ PCGroup PAC ID 8224559174, 14 clinicians

Practice addresses (Care Compare)

Hackettstown, NJ 07840
Phone (973) 576-5147

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37PC01133500NJMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Specialty Group NJ, PC CurrentSince Nov 1, 2025 Accepting new patients
Habit Opco, LLC PastSince Oct 1, 2021 Accepting new patients
Habit Opco, LLC PastSince Oct 1, 2021 Accepting new patients

Locations

830 Morris Tpke
Short Hills, NJ 07078
Phone (973) 302-6040

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1581552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763683200000",
    "number": "1669005153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 APPLETREE LN APT D",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088574758",
            "telephone_number": "787-452-2693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 APPLETREE LN APT D",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088574758",
            "telephone_number": "787-452-2693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ RODRIGUEZ",
        "first_name": "MARANGELY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-13",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC01133500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Bridge, NJ

Sources for this page

Verify at the official NPI Registry.