Individual provider Active NPI

Caroline Raba, LPC

  • Counselor
  • Fanwood, NJ
National Provider Identifier
1922558626
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
37PC00733000 Issued in NJ
Practice address
81 Russell Rd
Fanwood, NJ 07023-1264
Phone
(908) 419-9146
NPI assigned
Oct 6, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 37PC00733000 NJ Primary

Addresses

Primary practice location

81 Russell Rd
Fanwood, NJ 07023-1264

Mailing address

81 Russell Rd
Fanwood, NJ 07023-1264
Phone (908) 419-9146

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
I20260522001287 NJ Practitioner - Mental Health Counselor 4587134275 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

479 State RT
17 1119
Mahwah, NJ 07430

PO Box
Suite 51
New Milford, NJ 07646

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37PC00733000NJMDCounselor

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.

NPI Registry JSON

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

{
    "created_epoch": "1475712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1922558626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 RUSSELL RD",
            "city": "FANWOOD",
            "state": "NJ",
            "postal_code": "070231264",
            "telephone_number": "908-419-9146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 RUSSELL RD",
            "city": "FANWOOD",
            "state": "NJ",
            "postal_code": "070231264",
            "telephone_number": "908-419-9146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABA",
        "first_name": "CAROLINE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-06",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NJ",
            "license": "37PC00733000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fanwood, NJ

Sources for this page

Verify at the official NPI Registry.