PROF. ROBERT EDWARD DOUGLAS II LMFT. LPC
NPI 1831084193
Counselor - Professional in Fairview, NJ

Active since June 09, 2025PECOS Enrolled
115 FRANKLIN AVE, FAIRVIEW, NJ 07022(901) 628-1843 Get Directions Write a Review

NPPES record last updated: June 24, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jun 24, 2025, Jun 9, 2025 (2 updates tracked since 2025).

About Prof. Robert Edward Douglas Ii Lmft. Lpc NPPES

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

PROF. ROBERT EDWARD DOUGLAS II LMFT. LPC (NPI 1831084193) is an individual professional provider in Fairview, New Jersey, licensed in New Jersey (37PC01157100) and active in the NPI registry since June 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831084193
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NamePROF. ROBERT EDWARD DOUGLAS IICredential: LMFT. LPC
Location Address115 FRANKLIN AVEFairview, NJ 07022-1009
Mailing Address115 Franklin AveFairview, NJ 07022-1009 · (901) 628-1843
Sole ProprietorYes
Enumeration DateJune 9, 2025
Last NPPES UpdateJune 24, 20252 updates tracked since enumeration
NPPES CertifiedJune 24, 2025
✔ NPI 1831084193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in NJ · 37PC01157100
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 37FI00243000 (NJ)
115 FRANKLIN AVE, Fairview, NJ 07022

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)

Prof. Robert Edward Douglas Ii Lmft. Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Robert Douglas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Endocrinology, Diabetes & Metabolism
300A FOREST AVE
Paramus, NJ 07652
  • Reassigned Medicare billing, New Jersey enrollment
  • 53 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.

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 Robert Douglas's NPI number?

The NPI number for Robert Douglas is 1831084193. It was assigned to this individual provider in the NPPES registry on June 9, 2025.

Where is Robert Douglas located?

Robert Douglas practices at 115 Franklin Ave, Fairview, NJ 07022. The listed phone number is (901) 628-1843.

What is Robert Douglas's specialty?

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

Is Robert Douglas enrolled in Medicare?

Yes. Robert Douglas is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Robert Douglas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Douglas reassigns Medicare benefits to Hamilton Behavioral MD PA (Paramus, 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 Robert Douglas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Robert Douglas accept?

Health plans from Oscar Health list Robert Douglas 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 Robert Douglas was last updated on June 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.