Julie L Reardon, LPC, LCADC, ACS

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

37PC00528200 Issued in NJ

Practice address

12 Leystra LN
Wayne, NJ 07470-2419

Phone

(551) 427-6351

NPI assigned

Aug 8, 2014

Sex

Female

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: 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, 2009

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

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.

• North NJ Counseling LLC

  • Professional Counselor
  • Wayne, NJ
  • NPI 1700545167
  NPD Authorized official
• The Healing Hour, LLC

  • Mental Health Counselor
  • New Milford, NJ
  • NPI 1467210724
  Medicare reassignment

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

{
    "created_epoch": "1407456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614988800000",
    "number": "1861801334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 LEYSTRA LN",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702419",
            "telephone_number": "551-427-6351",
            "fax_number": "973-316-5790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 LEYSTRA LN",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702419",
            "telephone_number": "551-427-6351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REARDON",
        "first_name": "JULIE",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "LPC, LCADC, ACS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-08",
        "last_updated": "2021-03-06",
        "certification_date": "2021-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00528200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Fred Ratliff, M.D.
• Sanjay Raval, APN
• Sayonara Ravelo, PT, MPT
• Israel I Rayman, MD
• Shannon Raymond, MA, RD
• Helder Rebelo, PA
• Reds Ankle & Foot Associates LLC
• Tarek Refaie, M.D.
• Refocus Eye Health of NJ, P.C.
• Regency Gardens Nursing Center LLC

• Professional Counselor in Wayne, NJ
• Providers in Wayne, 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 Mar 6, 2021; 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.