ALEXANDRA LYNN ARBUCO (LAC) – Mental Health Counselor, NPI 1336724129

ALEXANDRA LYNN ARBUCO (LAC) is a healthcare provider. based in Ridgewood, New Jersey. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LAC. They hold a License No. 37AC00568700 (NJ). The NPI Number for ALEXANDRA LYNN ARBUCO (LAC) is 1336724129

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
ALEXANDRA LYNN ARBUCO (LAC)
NPI
1336724129
Phone
Not provided
Address
120 CHESTNUT ST
Enumeration Date
12 March 2021
Last Update Date
21 April 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2014443550
Graduation Year
2020 (6 years ago)
PAC ID
7416486279
Group Practice PAC ID
0345131272
Professional Enrollment ID
I20250123000308
Address ID
NJ074502599RI140XXSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

1,093 MENTAL HEALTH COUNSELOR in NJ

Provider Addresses for ALEXANDRA LYNN ARBUCO (LAC)

  • 120 CHESTNUT ST

    RIDGEWOOD, NJ 074502504

    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: 2025-01-23

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
I20250123000308IMental 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 07450)

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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: 0345131272View full group profile
NameSpecialtyState
-NJ
Clinical Social WorkerNJ
-NJ
-NJ
Nurse PractitionerNJ
Clinical Social WorkerNJ
Marriage And Family TherapistNJ
Clinical Social WorkerNJ
-NJ
Clinical Social WorkerNJ

Reviews

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Frequently asked questions

Is ALEXANDRA LYNN ARBUCO (LAC) listed with a National Provider Identifier?
Yes — ALEXANDRA LYNN ARBUCO (LAC) has NPI 1336724129 on file in the registry.
Active or inactive — what applies to ALEXANDRA LYNN ARBUCO (LAC)?
You should see ALEXANDRA LYNN ARBUCO (LAC) as active in CMS-hosted NPPES data.
How would a patient describe ALEXANDRA LYNN ARBUCO (LAC)'s focus?
For ALEXANDRA LYNN ARBUCO (LAC), the primary taxonomy reads as Mental Health Counselor. Clinical services aligned with this taxonomy classification.
What locale is associated with ALEXANDRA LYNN ARBUCO (LAC)?
Directory geography for ALEXANDRA LYNN ARBUCO (LAC) centers on Ridgewood, New Jersey.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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