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ROSENNA DAVITA HINNANT PEMBERTON LPC
NPI 1184199382
Counselor - Professional in Bayonne, NJ

Active since October 04, 2018PECOS EnrolledAccepts Medicare Assignment
95 W 13TH ST FL 1, BAYONNE, NJ 07002(201) 668-1001 Get Directions Write a Review

NPPES record last updated: October 4, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Rosenna Davita Hinnant Pemberton Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROSENNA DAVITA HINNANT PEMBERTON LPC (NPI 1184199382) is an individual professional provider in Bayonne, New Jersey, licensed in New Jersey (37PC00630300) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1184199382
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameROSENNA DAVITA HINNANT PEMBERTONCredential: LPC
Location Address95 W 13TH ST FL 1Bayonne, NJ 07002-1343
Mailing Address95 W 13th St Fl 1Bayonne, NJ 07002-1343 · (201) 304-7957 · Fax (201) 510-0758
Phone(201) 668-1001
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateOctober 4, 2018
✔ NPI 1184199382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in NJ · 37PC00630300
95 W 13TH ST FL 1, Bayonne, NJ 07002
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Rosenna Davita Hinnant Pemberton Lpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID749622470
PECOS Enrollment IDI20240528001419
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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 Rosenna Pemberton's NPI number?

The NPI number for Rosenna Pemberton is 1184199382. It was assigned to this individual provider in the NPPES registry on October 4, 2018.

Where is Rosenna Pemberton located?

Rosenna Pemberton practices at 95 W 13th St Fl 1, Bayonne, NJ 07002. The listed phone number is (201) 668-1001.

What is Rosenna Pemberton's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Rosenna Pemberton enrolled in Medicare?

Yes. Rosenna Pemberton is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Rosenna Pemberton was last updated on October 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.