MS. TINA MARIE BUTLER LPC
NPI 1790997575
Counselor - Professional in Bound Brook, NJ

Active since May 04, 2007PECOS EnrolledAccepts Medicare Assignment
105 E UNION AVE, BOUND BROOK, NJ 08805(732) 469-7899 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ms. Tina Marie Butler Lpc NPPES

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

MS. TINA MARIE BUTLER LPC (NPI 1790997575) is an individual professional provider in Bound Brook, New Jersey, licensed in New Jersey (37PC000281300) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1790997575
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMS. TINA MARIE BUTLERCredential: LPC
Location Address105 E UNION AVEBound Brook, NJ 08805
Mailing Address217 Lexington Blvd, Apt 25Clark, NJ 07066 · (908) 590-4794
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateMay 4, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1790997575 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 · 37PC000281300
105 E UNION AVE, Bound Brook, NJ 08805

Accepted Insurance

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

Ms. Tina Marie Butler 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 ID4789937038
PECOS Enrollment IDI20241211000055
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 Tina Butler reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychiatry
1600 SAINT GEORGES AVE STE 118
Rahway, NJ 07065
  • Reassigned Medicare billing, New Jersey enrollment
  • 6 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 5

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

Dentist (General Practice)
105 E UNION AVE
BOUND BROOK, NJ 08805
Psychiatry & Neurology (Psychiatry)
105 E UNION AVE
BOUND BROOK, NJ 08805
Dentist (General Practice)
105 E UNION AVE
BOUND BROOK, NJ 08805
Clinic/Center (Adult Mental Health)
105 E UNION AVE, SUITE 230
BOUND BROOK, NJ 08805
Dentist
105 E UNION AVE
BOUND BROOK, NJ 08805

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 Tina Butler's NPI number?

The NPI number for Tina Butler is 1790997575. It was assigned to this individual provider in the NPPES registry on May 4, 2007.

Where is Tina Butler located?

Tina Butler practices at 105 E Union Ave, Bound Brook, NJ 08805. The listed phone number is (732) 469-7899.

What is Tina Butler's specialty?

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

Is Tina Butler enrolled in Medicare?

Yes. Tina Butler 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 Tina Butler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tina Butler reassigns Medicare benefits to Grace Medical Group LLC (Rahway, 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 Tina Butler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tina Butler accept?

Health plans from Oscar Health list Tina Butler 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 Tina Butler was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.