Individual provider Active NPI

Andrew Betro, LAC

  • Counselor
  • Red Bank, NJ
National Provider Identifier
1669204194
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
37AC00695400 Issued in NJ
Practice address
195 Maple Ave
Red Bank, NJ 07701-1726
Phone
(732) 749-2438
NPI assigned
Aug 14, 2024
Last updated
Aug 14, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 37AC00695400 NJ Primary

Addresses

Primary practice location

195 Maple Ave
Red Bank, NJ 07701-1726

Mailing address

195 Maple Ave
Red Bank, NJ 07701-1726
Phone (732) 749-2438

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
37AC00695400NJMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Digit LLC CurrentSince Jul 13, 2025 Accepting new patients

Locations

195 Maple Ave
Red Bank, NJ 07701
Phone (732) 749-2438

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1723593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1669204194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 MAPLE AVE",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011726",
            "telephone_number": "732-749-2438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 MAPLE AVE",
            "city": "RED BANK",
            "state": "NJ",
            "postal_code": "077011726",
            "telephone_number": "732-749-2438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETRO",
        "first_name": "ANDREW",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-14",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NJ",
            "license": "37AC00695400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bank, NJ

Sources for this page

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