ROSARIO D CRUZ-CASTILLO (M.ED., LAC) – Professional Counselor, NPI 1124431903

ROSARIO D CRUZ-CASTILLO (M.ED., LAC) is a healthcare provider. based in Passaic, New Jersey. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials M.ED., LAC. They hold a License No. 37AC00376200 (NJ). The NPI Number for ROSARIO D CRUZ-CASTILLO (M.ED., LAC) is 1124431903

Main info

Female
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
ROSARIO D CRUZ-CASTILLO (M.ED., LAC)
NPI
1124431903
Phone
Not provided
Address
111 LEXINGTON AVE
Enumeration Date
9 June 2014
Last Update Date
7 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8552847483
Graduation Year
2015 (11 years ago)
PAC ID
3577895739
Group Practice PAC ID
0749458420
Professional Enrollment ID
I20231224000063
Address ID
NJ076523700PA11XXXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness75
Years active:12State licenses:2Digital endpointsOther names

1,093 MENTAL HEALTH COUNSELOR in NJ

Provider Addresses for ROSARIO D CRUZ-CASTILLO (M.ED., LAC)

  • 111 LEXINGTON AVE

    PASSAIC, NJ 070555246

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-12-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231224000063IMental Health CounselorNJTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 07055)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0749458420View full group profile
NameSpecialtyState
Clinical PsychologistPA
Mental Health CounselorOH
Clinical Social WorkerGA
Mental Health CounselorPA
Mental Health CounselorGA
Mental Health CounselorOH
Clinical Social WorkerPA
Mental Health CounselorMA
Nurse PractitionerOH
Clinical Social WorkerMD

Reviews

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Frequently asked questions

What NPI should I save for ROSARIO D CRUZ-CASTILLO (M.ED., LAC)?
Save NPI 1124431903 if you need a stable reference for ROSARIO D CRUZ-CASTILLO (M.ED., LAC).
Is ROSARIO D CRUZ-CASTILLO (M.ED., LAC) active in the national directory?
ROSARIO D CRUZ-CASTILLO (M.ED., LAC)'s public NPI profile is in an active state.
What kind of provider is ROSARIO D CRUZ-CASTILLO (M.ED., LAC)?
The page reflects Professional Counselor for ROSARIO D CRUZ-CASTILLO (M.ED., LAC). Clinical services aligned with this taxonomy classification.
What location metadata exists for ROSARIO D CRUZ-CASTILLO (M.ED., LAC)?
The page summarizes Passaic, New Jersey for ROSARIO D CRUZ-CASTILLO (M.ED., LAC); expand the address list for detail.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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