Juliarose Fodali, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

37PC01165400 Issued in NJ

Practice address

636 Kings Hwy Ste C
West Deptford, NJ 08096-3164

Phone

(856) 433-4264

NPI assigned

Aug 14, 2024

Sex

Female

Sole proprietor

No

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: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Digit LLC

  • Clinical Neuropsychologist
  • Red Bank, NJ
  • NPI 1437791993

  NJ

  Medicare reassignment NPD

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

{
    "created_epoch": "1723593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1750113288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "636 KINGS HWY STE C",
            "city": "WEST DEPTFORD",
            "state": "NJ",
            "postal_code": "080963164",
            "telephone_number": "856-433-4264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "636 KINGS HWY STE C",
            "city": "WEST DEPTFORD",
            "state": "NJ",
            "postal_code": "080963164",
            "telephone_number": "856-433-4264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FODALI",
        "first_name": "JULIAROSE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-14",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC01165400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evan D. O'Brien, M.D., P.C
• Lisa M Ewan, APN
• Gabrielle Fallon, MS, LAT, ATC
• Alexis Kimberly Farrell
• Heather Ferreira
• Marie Fredrikis
• Kelly A. Froio, P.A.
• Garden State Visiting Practitioners
• Melanie B Garrison, LPC
• John Joseph Gartland Jr., MD

• All providers in West Deptford, NJ
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.