LARISSA REDZINIAK
NPI 1952179079
Psychologist - Clinical in Red Bank, NJ
About Larissa Redziniak NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LARISSA REDZINIAK (NPI 1952179079) is an individual clinical provider in Red Bank, New Jersey, licensed in New Jersey (35SI00730000) and active in the NPI registry since December 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
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
Larissa Redziniak 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.
Medicare Billing Reassignment
Medicare enrollment records show Larissa Redziniak reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
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.
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.
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 Larissa Redziniak's NPI number?
The NPI number for Larissa Redziniak is 1952179079. It was assigned to this individual provider in the NPPES registry on December 18, 2023.
Where is Larissa Redziniak located?
Larissa Redziniak practices at 65 Mechanic St Ste 203, Red Bank, NJ 07701. The listed phone number is (855) 284-7483.
What is Larissa Redziniak's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Larissa Redziniak enrolled in Medicare?
Yes. Larissa Redziniak 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 Larissa Redziniak's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Larissa Redziniak 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 Larissa Redziniak'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 Larissa Redziniak was last updated on December 18, 2023. 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.
# Larissa Redziniak · NPI 1952179079
Clinical provider in Red Bank, New Jersey. Individual provider, active in the CMS NPPES registry since December 18, 2023.
## Identity
- **NPI:** 1952179079 (Entity type: Individual)
- **Enumerated:** December 18, 2023
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 35SI00730000 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 65 MECHANIC ST STE 203, Red Bank, NJ 07701-1852
- **Phone:** (855) 284-7483
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Thrive Counseling LLC (NPI 1215181300, Lynchburg, VA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** December 18, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1952179079) · Data from the CMS NPPES public registry.