Casa Rico, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

37PC00339800 Issued in NJ

Legal business name

CASA RICO, LLC

Doing business as

Be Well Counseling

Practice address

285 Durham Ave
BLDG. #6, Ste 2a
South Plainfield, NJ 07080-2546

Phone

(908) 548-8533

Fax

(908) 548-8532

NPI assigned

Sep 7, 2011

Last updated

Sep 7, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Bethea Coppola-Rios, LPCNPI 1861570178

Title

Owner

Phone

(908) 548-8533

Specialties & licenses 1

Addresses

Other names 1

• Be Well Counseling Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Bethea Coppola-Rios, MA

  • Professional Counselor
  • South Plainfield, NJ
  • NPI 1861570178
  Authorized official Same address or phone

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

{
    "created_epoch": "1315353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315353600000",
    "number": "1689955478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 DURHAM AVE",
            "address_2": "BLDG. #6, STE 2A",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070802546",
            "telephone_number": "908-548-8533",
            "fax_number": "908-548-8532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 DURHAM AVE",
            "address_2": "BLDG. #6, STE 2A",
            "city": "SOUTH PLAINFIELD",
            "state": "NJ",
            "postal_code": "070802546",
            "telephone_number": "908-548-8533",
            "fax_number": "908-548-8532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASA RICO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-07",
        "last_updated": "2011-09-07",
        "status": "A",
        "authorized_official_last_name": "COPPOLA-RIOS",
        "authorized_official_first_name": "BETHEA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "908-548-8533",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC00339800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Be Well Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Health Counselor in South Plainfield, NJ
• Providers in South Plainfield, 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 7, 2011; 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.