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: October 25, 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
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

Accepted Insurance

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignment

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

Clinical Neuropsychologist
195 MAPLE AVE
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 5 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.

Other Providers at the Same Location NPPES 3

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

Family Medicine
636 KINGS HWY STE C
WEST DEPTFORD, NJ 08096
Counselor (Mental Health)
636 KINGS HWY STE C
WEST DEPTFORD, NJ 08096
Counselor (Mental Health)
636 KINGS HWY STE C
WEST DEPTFORD, NJ 08096

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.

Which organization bills Medicare for Juliarose Fodali's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Juliarose Fodali reassigns Medicare benefits to Digit LLC (Red Bank, NJ). 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 Juliarose Fodali's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Juliarose Fodali accept?

Health plans from Oscar Health list Juliarose Fodali as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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 5 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.