Active NPI
Angela Delrusso, LPC
- Mental Health Counselor
- Lakewood, NJ
National Provider Identifier
1922161082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 37PC00307500
- Practice address
- Preferred Behavioral Health
700 Airport Road PO
Lakewood, NJ 08701 - Phone
- (732) 367-4700
- Fax
- (732) 364-2253
- NPI assigned
- Dec 19, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 37PC00307500 | NJ | Primary |
Addresses
Primary practice location
Preferred Behavioral Health
700 Airport Road PO
Lakewood, NJ 08701
Mailing address
1201 Route 37 East, 2ND Floor
Adult Counseling Services
Toms River, NJ 08753
Phone (908) 278-9073
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0029807 | Medicaid | NJ |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240528000655 | NJ | Practitioner - Mental Health Counselor | 1850427618 | Practice locations: Toms River, NJ |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
2008 Route 37 E
Toms River, NJ 08753-7185
Phone (908) 278-9073
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37PC00307500 | NJ | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shore Psychology Associates, LLC | Current | Accepting new patients |
Locations
200 Atlantic Ave
Ste K
Manasquan, NJ 08736
Phone (732) 292-0388
Organizations & group practices 1
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.
-
- Psychologist
- Manasquan, NJ
- NPI 1306914338
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1922161082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 ROUTE 37 EAST, 2ND FLOOR",
"address_2": "ADULT COUNSELING SERVICES",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "08753",
"telephone_number": "908-278-9073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PREFERRED BEHAVIORAL HEALTH",
"address_2": "700 AIRPORT ROAD PO",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "08701",
"telephone_number": "732-367-4700",
"fax_number": "732-364-2253"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELRUSSO",
"first_name": "ANGELA",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-19",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NJ",
"license": "37PC00307500",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0029807",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.