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JULIAROSE FODALI LPC
NPI 1750113288
Counselor - Mental Health in West Deptford, NJ

Active since August 14, 2024PECOS Enrolled
636 KINGS HWY STE C, WEST DEPTFORD, NJ 08096(856) 433-4264 Get Directions Write a Review

NPPES record last updated: May 28, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 28, 2026, Mar 10, 2026, Aug 14, 2024 (3 updates tracked since 2024).

About Juliarose Fodali Lpc NPPES

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

JULIAROSE FODALI LPC (NPI 1750113288) is an individual mental health provider in West Deptford, New Jersey, licensed in New Jersey (37PC01165400) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1750113288
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJULIAROSE FODALICredential: LPC
Location Address636 KINGS HWY STE CWest Deptford, NJ 08096-3164
Mailing Address636 Kings Hwy Ste CWest Deptford, NJ 08096-3164 · (856) 433-4264
Phone(856) 433-4264
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 14, 2024
Last NPPES UpdateMay 28, 20263 updates tracked since enumeration
NPPES CertifiedMay 28, 2026
✔ NPI 1750113288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in NJ · 37PC01165400
636 KINGS HWY STE C, West Deptford, NJ 08096
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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 (PECOS)

Juliarose Fodali Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4486142411
PECOS Enrollment IDI20251111002815
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.

Other Providers at the Same Location NPPES

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

MIRANDA L SHORT LPC
Counselor (Mental Health)
636 KINGS HWY STE C
WEST DEPTFORD, NJ 08096
Gloucester County (856) 644-4154

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 Juliarose Fodali's NPI number?

The NPI number for Juliarose Fodali is 1750113288. It was assigned to this individual provider in the NPPES registry on August 14, 2024.

Where is Juliarose Fodali located?

Juliarose Fodali practices at 636 Kings Hwy Ste C, West Deptford, NJ 08096. The listed phone number is (856) 433-4264.

What is Juliarose Fodali's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Juliarose Fodali enrolled in Medicare?

Yes. Juliarose Fodali is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Juliarose Fodali was last updated on May 28, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.