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Active NPI 1245580976 Individual Practitioner Male Practitioner

Patrick John Revello , MA, LPC

Counselor - Professional • Sparta, NJ

Professional Overview & Biography Verified Profile Summary

Patrick Revello, MA, LPC is a registered healthcare professional specializing in Counselor - Professional in Sparta, NJ. Practice services are available at 14 MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

14 Main St

Sparta, NJ 078711948

Telephone 2014989140
Associated Practice Facility / Clinic
🏢 Advance Housing, Inc. Facility NPI 1780740522

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Sparta, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.7 Yrs
State Avg: 15.9 Yrs
Regional Practice Density
47 Specialists

Practicing in Sparta, NJ (4170 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-01-17
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License NJ 37PC00601200

Definition to come...

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Agency Provider #
0023701 (NJ)
Commercial Insurance / Payer ID Agency Program Provider #
7794703 (NJ)

Secondary Practice Locations

6 Dumont Pl, 1st Floor

Morristown, NJ 079608104

Phone: 9086744438

600 Coventry Dr

Phillipsburg, NJ 088651971

Phone: 9084544070

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Daniel Parra

Counselor - Mental Health

NPI 1003652132
Isabel Nassi

Counselor - Mental Health

NPI 1003691668
Carolyn Jaime , LCSW

Social Worker - Clinical

NPI 1013048545

Licensed Clinical Social Worker

Christine Holl , BA

Case Manager/Care Coordinator

NPI 1013590165

Bachelor of Arts

Adriana Moron

Case Manager/Care Coordinator

NPI 1043893845
Nancy Dimauro , LPN

Licensed Practical Nurse

NPI 1053128488

Licensed Practical Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

13 Historical Events
📍
Updated Practice Location January 17, 2025

Registered at 14 MAIN ST, SPARTA, NJ 078711948 (Tel: 2014989140)

📍
Updated Business Mailing Address January 17, 2025

Registered at 14 MAIN ST, SPARTA, NJ 078711948 (Tel: 2014989140)

NPI Profile Active October 28, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location October 28, 2017

Registered at 600 COVENTRY DR, PHILLIPSBURG, NJ 088651971 (Tel: 9084544070)

📍
Updated Business Mailing Address October 28, 2017

Registered at 600 COVENTRY DR, PHILLIPSBURG, NJ 088651971 (Tel: 9084544070)

👤
Provider Name / Credentials Updated October 28, 2017

Recorded as PATRICK REVELLO, MA, LPC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 28, 2017

Counselor

NPI Profile Active December 01, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location December 01, 2015

Registered at 6 DUMONT PL, 1ST FLOOR, MORRISTOWN, NJ 079608104 (Tel: 9086744438)

📍
Updated Business Mailing Address December 01, 2015

Registered at 6 DUMONT PL, 1ST FLOOR, MORRISTOWN, NJ 079608104 (Tel: 9086744438)

👤
Provider Name / Credentials Updated December 01, 2015

Recorded as PATRICK REVELLO, MA, LAC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 01, 2015

Counselor

🟢
Initial NPI Registration & Enumeration September 10, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1245580976
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 10, 2012
Last Update: January 17, 2025
Sole Proprietor: No

Mailing Address

14 Main St

Sparta, NJ 078711948

Phone: 2014989140

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.