Active NPI
Paul R. Lavella Jr., MA, LPC, LCADC, ACS
- Professional Counselor
- Florham Park, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 37PC00455600
- Practice address
- 205 Ridgedale Ave Ste 200
Florham Park, NJ 07932-1349 - Phone
- (855) 202-7939
- Fax
- (732) 231-5189
- NPI assigned
- May 30, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 37LC00174800 | NJ | |
| Professional Counselor | 101YP2500X | 37PC00455600 | NJ | Primary |
Addresses
Primary practice location
205 Ridgedale Ave Ste 200
Florham Park, NJ 07932-1349
Mailing address
135 Columbia Tpke Ste 201
Florham Park, NJ 07932-2189
Phone (732) 407-2653
Other practice location 1
1930 Marlton Pike E Ste E27
Cherry Hill, NJ 08003-4101
Phone (721) 231-5181
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37LC00174800 | NJ | MD | Addiction (Substance Use Disorder) Counselor |
| 37PC00455600 | NJ | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Raw Associates LLC | Addiction (Substance Use Disorder) | Current | Accepting new patients |
| NJ Recovery & Wellness, LLC | Addiction (Substance Use Disorder) | Current | Accepting new patients |
Locations
1930 Marlton Pike E
Ste E27
Cherry Hill, NJ 08003
Phone (856) 424-6677
205 Ridgedale Ave
Ste 200
Florham Park, NJ 07932
Phone (732) 231-5180
135 Columbia Tpke
Ste 201
Florham Park, NJ 07932
Phone (973) 410-0705
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.
-
- Addiction (Substance Use Disorder) Counselor
- Florham Park, NJ
- NPI 1619752201
-
- Addiction (Substance Use Disorder) Counselor
- Florham Park, NJ
- NPI 1851992929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657065600000",
"number": "1982041968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 COLUMBIA TPKE STE 201",
"city": "FLORHAM PARK",
"state": "NJ",
"postal_code": "079322189",
"telephone_number": "732-407-2653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 RIDGEDALE AVE STE 200",
"city": "FLORHAM PARK",
"state": "NJ",
"postal_code": "079321349",
"telephone_number": "855-202-7939",
"fax_number": "732-231-5189"
}
],
"practiceLocations": [
{
"address_1": "1930 Marlton Pike E Ste E27",
"address_purpose": "LOCATION",
"city": "Cherry Hill",
"state": "NJ",
"postal_code": "080034101",
"country_code": "US",
"telephone_number": "721-231-5181",
"fax_number": "732-231-5189",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LAVELLA",
"first_name": "PAUL",
"middle_name": "R.",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "MA, LPC, LCADC, ACS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-05-30",
"last_updated": "2022-07-06",
"certification_date": "2022-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NJ",
"license": "37LC00174800",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NJ",
"license": "37PC00455600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Florham Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.