Individual provider Active NPI

Ryan Paolicelli

  • Mental Health Counselor
  • Freehold, NJ
National Provider Identifier
1821952151
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
37PC01212600 Issued in NJ
Practice address
4255 US 9 Ste 5B
Freehold, NJ 07728-8305
Phone
(609) 901-3350
NPI assigned
Dec 11, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 37PC01212600 NJ Primary

Addresses

Primary practice location

4255 US 9 Ste 5B
Freehold, NJ 07728-8305

Mailing address

329 E Jimmie Leeds Rd Ste 101
Galloway, NJ 08205-4110
Phone (609) 241-0234

Other practice location 1

7 Denville St
Barnegat, NJ 08005-2504
Phone (732) 300-6015

Other practice location 2

6 Auer Ct Ste D
East Brunswick, NJ 08816-5828
Phone (732) 300-6015

Other practice location 3

329 E Jimmie Leeds Rd Ste 101
Galloway, NJ 08205-4110
Phone (609) 241-0234

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
I20260122003149 NJ Practitioner - Mental Health Counselor 3173000932 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Therapeutic Self CareGroup PAC ID 0345604120, 2 clinicians

Practice addresses (Care Compare)

329 E Jimmie Leeds Rd
Suite 101
Galloway, NJ 08205-4110
Phone (609) 328-0775

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37PC01212600NJMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeutic Self Care Mental Health CurrentSince Dec 13, 2025 Accepting new patients
Therapeutic Self Care Mental Health PastSince Dec 13, 2025 Accepting new patients

Locations

329 E Jimmie Leeds Rd
Ste 101
Galloway, NJ 08205
Phone (609) 241-0234

Organizations & group practices 2

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": "1765411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1821952151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 E JIMMIE LEEDS RD STE 101",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082054110",
            "telephone_number": "609-241-0234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4255 US 9 STE 5B",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077288305",
            "telephone_number": "609-901-3350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Denville St",
            "address_purpose": "LOCATION",
            "city": "Barnegat",
            "state": "NJ",
            "postal_code": "080052504",
            "country_code": "US",
            "telephone_number": "732-300-6015",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6 Auer Ct Ste D",
            "address_purpose": "LOCATION",
            "city": "East Brunswick",
            "state": "NJ",
            "postal_code": "088165828",
            "country_code": "US",
            "telephone_number": "732-300-6015",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "329 E Jimmie Leeds Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Galloway",
            "state": "NJ",
            "postal_code": "082054110",
            "country_code": "US",
            "telephone_number": "609-241-0234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAOLICELLI",
        "first_name": "RYAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-12-11",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37PC01212600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

Verify at the official NPI Registry.