Eddie G Farrell Sr.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

37PC00639100 Issued in NJ

Practice address

209 Waverly Ave
Neptune, NJ 07753-3188

Phone

(646) 477-5398

NPI assigned

May 28, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Farrell Counseling LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Iselin, NJ
  • NPI 1639737299
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1559001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559001600000",
    "number": "1730746538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 WAVERLY AVE",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077533188",
            "telephone_number": "646-477-5398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 WAVERLY AVE",
            "city": "NEPTUNE",
            "state": "NJ",
            "postal_code": "077533188",
            "telephone_number": "646-477-5398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRELL",
        "first_name": "EDDIE",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-28",
        "last_updated": "2019-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00639100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Marc Fardman
• Farah Farhat
• Elisabeth K Farnum, MD
• Jonathan Faro, MD
• Cristina Elizabeth Farrell, MD
• Angela Musial Fay, MS
• Stephanie Rose Fegan
• Noah Zachary Feit
• Oliver G Felibrico, MD
• Diane Fellenz, PHLEBOTOMIST

• Professional Counselor in Neptune, NJ
• Providers in Neptune, 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 May 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.