RAIYONA ROANE (LAC) – Counselor, NPI 1831783364

RAIYONA ROANE (LAC) is a healthcare provider. based in Glen rock, New Jersey. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LAC. They hold a License No. 37AC00527500 (NJ). The NPI Number for RAIYONA ROANE (LAC) is 1831783364

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
RAIYONA ROANE (LAC)
NPI
1831783364
Phone
(732) 982-2888
Address
65 HARRISTOWN RD STE 310
Enumeration Date
25 February 2021
Last Update Date
25 February 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7324194000
Graduation Year
2019 (7 years ago)
PAC ID
5597290163
Group Practice PAC ID
3971990144
Professional Enrollment ID
I20241120001488
Address ID
NJ088522411MO1100XRDXX301
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 RAIYONA ROANE (LAC)

  • 65 HARRISTOWN RD STE 310

    GLEN ROCK, NJ 074523356

    Phone: (732) 982-2888

    Type: Location

  • 175 E HAWTHORN PKWY

    VERNON HILLS, IL 600611463

    Phone:

    Type: Mailing

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: 2024-11-20

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
I20241120001488IMental 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 07452)

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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: 3971990144View full group profile
NameSpecialtyState
Mental Health CounselorNJ
Clinical Social WorkerNJ

Reviews

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Frequently asked questions

What is the registry number for RAIYONA ROANE (LAC)?
The registry entry for RAIYONA ROANE (LAC) shows NPI 1831783364.
Should I treat RAIYONA ROANE (LAC) as an active provider?
Patients and plans typically see RAIYONA ROANE (LAC) as active in the national extract.
How should patients interpret RAIYONA ROANE (LAC)'s specialty?
The extract shows Counselor for RAIYONA ROANE (LAC). Clinical services aligned with this taxonomy classification.
Which community is linked to RAIYONA ROANE (LAC)?
RAIYONA ROANE (LAC) shows a connection to Glen Rock, New Jersey in registry-derived data.
Who maintains RAIYONA ROANE (LAC)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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