MRS. ANDREA ROSE BUELO-VITOLLO MS. LPC, NCC
NPI 1265122436
Counselor - Professional in Eatontown, NJ

Active since May 11, 2023Opted out of Medicare · through Feb 16, 2028
2 INDUSTRIAL WAY W STE 203, EATONTOWN, NJ 07724(732) 982-2888 Get Directions Write a Review

NPPES record last updated: April 3, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 3, 2025, May 11, 2023 (2 updates tracked since 2023).

About Mrs. Andrea Rose Buelo-vitollo Ms. Lpc, Ncc NPPES

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

MRS. ANDREA ROSE BUELO-VITOLLO MS. LPC, NCC (NPI 1265122436) is an individual professional provider in Eatontown, New Jersey, licensed in New Jersey (37PC00692600) and active in the NPI registry since May 2023. She has opted out of Medicare through February 16, 2028.

NPPES Registry Identity

NPI1265122436
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. ANDREA ROSE BUELO-VITOLLOCredential: MS. LPC, NCC
Location Address2 INDUSTRIAL WAY W STE 203Eatontown, NJ 07724-2266
Mailing Address4800 N Scottsdale Rd Ste 2500Scottsdale, AZ 85251-7630 · (603) 883-0005
Sole ProprietorYes
Enumeration DateMay 11, 2023
Last NPPES UpdateApril 3, 20252 updates tracked since enumeration
NPPES CertifiedApril 3, 2025
NPI 1265122436 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 · 37PC00692600
2 INDUSTRIAL WAY W STE 203, Eatontown, NJ 07724

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Mrs. Andrea Rose Buelo-vitollo Ms. Lpc, Ncc 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 February 16, 2024 through February 16, 2028.

Opt-Out Effective DateFebruary 16, 2024
Opt-Out In Effect ThroughFebruary 16, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
2 INDUSTRIAL WAY W STE 203
EATONTOWN, NJ 07724
Counselor (Mental Health)
2 INDUSTRIAL WAY W STE 203
EATONTOWN, NJ 07724
Counselor (Professional)
2 INDUSTRIAL WAY W STE 203
EATONTOWN, NJ 07724
Psychiatry & Neurology (Psychiatry)
2 INDUSTRIAL WAY W STE 203
EATONTOWN, NJ 07724
Marriage & Family Therapist
2 INDUSTRIAL WAY W STE 203
EATONTOWN, NJ 07724
Counselor (Professional)
2 INDUSTRIAL WAY W STE 203
EATONTOWN, NJ 07724
Counselor (Mental Health)
2 INDUSTRIAL WAY W STE 203
EATONTOWN, NJ 07724
Psychologist (Clinical)
2 INDUSTRIAL WAY W STE 203
EATONTOWN, NJ 07724

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 Andrea Buelo-vitollo's NPI number?

The NPI number for Andrea Buelo-vitollo is 1265122436. It was assigned to this individual provider in the NPPES registry on May 11, 2023.

Where is Andrea Buelo-vitollo located?

Andrea Buelo-vitollo practices at 2 Industrial Way W Ste 203, Eatontown, NJ 07724. The listed phone number is (732) 982-2888.

What is Andrea Buelo-vitollo's specialty?

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

Is Andrea Buelo-vitollo enrolled in Medicare?

No. Andrea Buelo-vitollo has opted out of Medicare through February 16, 2028. 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 Andrea Buelo-vitollo was last updated on April 3, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.