JOHN W PETRIE
NPI 1366164352
Social Worker - Clinical in Red Bank, NJ

Active since September 15, 2022PECOS EnrolledAccepts Medicare Assignment
65 MECHANIC ST STE 203, RED BANK, NJ 07701(855) 284-7483 Get Directions Write a Review

NPPES record last updated: September 6, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 6, 2024, Sep 15, 2022 (2 updates tracked since 2022).

About John W Petrie NPPES

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

JOHN W PETRIE (NPI 1366164352) is an individual clinical provider in Red Bank, New Jersey, licensed in New Jersey (44SC06384100) and active in the NPI registry since September 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1366164352
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJOHN W PETRIE
Location Address65 MECHANIC ST STE 203Red Bank, NJ 07701-1852
Mailing AddressPo Box 748465Atlanta, GA 30374-8465
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateSeptember 15, 2022
Last NPPES UpdateSeptember 6, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 6, 2024
✔ NPI 1366164352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in NJ · 44SC06384100
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedSocial WorkerTaxonomy 104100000X
65 MECHANIC ST STE 203, Red Bank, NJ 07701

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

John W Petrie 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 ID2466983762
PECOS Enrollment IDI20240926003765
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.

Medicare Billing Reassignment

Medicare enrollment records show John Petrie reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
1000 JEFFERSON ST STE 2C
Lynchburg, VA 24504
  • Reassigned Medicare billing, New Jersey enrollment
  • 138 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $61.59 – $185.05
Typical copayment $0.00 (range $15.39 – $46.26)
Most-billed visit code NA
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

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

Counselor (Professional)
65 MECHANIC ST STE 203
RED BANK, NJ 07701
Social Worker
65 MECHANIC ST STE 203
RED BANK, NJ 07701
Social Worker
65 MECHANIC ST STE 203
RED BANK, NJ 07701
Social Worker (Clinical)
65 MECHANIC ST STE 203
RED BANK, NJ 07701
Social Worker (Clinical)
65 MECHANIC ST STE 203
RED BANK, NJ 07701
Social Worker (Clinical)
65 MECHANIC ST STE 203
RED BANK, NJ 07701
Nurse Practitioner (Psychiatric/Mental Health)
65 MECHANIC ST STE 203
RED BANK, NJ 07701
Psychologist (Clinical)
65 MECHANIC ST STE 203
RED BANK, NJ 07701

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 John Petrie's NPI number?

The NPI number for John Petrie is 1366164352. It was assigned to this individual provider in the NPPES registry on September 15, 2022.

Where is John Petrie located?

John Petrie practices at 65 Mechanic St Ste 203, Red Bank, NJ 07701. The listed phone number is (855) 284-7483.

What is John Petrie's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is John Petrie enrolled in Medicare?

Yes. John Petrie 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.

Which organization bills Medicare for John Petrie's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Petrie reassigns Medicare benefits to Thrive Counseling LLC (Lynchburg, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Petrie's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for John Petrie was last updated on September 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.