CAROL TUDOR LPC
NPI 1053011148
Counselor - Professional in Roseland, NJ
About Carol Tudor Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CAROL TUDOR LPC (NPI 1053011148) is an individual professional provider in Roseland, New Jersey, licensed in New Mexico (37PC00504100) and active in the NPI registry since March 2023. She has opted out of Medicare through November 12, 2026.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Carol Tudor Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 12, 2024 through November 12, 2026.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Carol Tudor's NPI number?
The NPI number for Carol Tudor is 1053011148. It was assigned to this individual provider in the NPPES registry on March 7, 2023.
Where is Carol Tudor located?
Carol Tudor practices at 425 Eagle Rock Ave Ste 103, Roseland, NJ 07068. The listed phone number is (973) 226-1505.
What is Carol Tudor's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Carol Tudor enrolled in Medicare?
No. Carol Tudor has opted out of Medicare through November 12, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Carol Tudor was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Carol Tudor, LPC · NPI 1053011148
Professional provider in Roseland, New Jersey. Individual provider, active in the CMS NPPES registry since March 7, 2023.
## Identity
- **NPI:** 1053011148 (Entity type: Individual)
- **Enumerated:** March 7, 2023
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 37PC00504100 (New Mexico)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 425 EAGLE ROCK AVE STE 103, Roseland, NJ 07068-1717
- **Phone:** (973) 226-1505
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through November 12, 2026); services are provided under private contract
## Record status
- **NPPES last updated:** March 7, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1053011148) · Data from the CMS NPPES public registry.