Active NPIIndividual provider

Ms. Rosario Reveron, LAC

Counselor, Mental Health in East Orange, New Jersey

NPI Number1063086338
Practice location
7 Glenwood Ave Ste 101, East Orange, NJ 07017-1041
Fax
—
Last updated
September 1, 2026

Rosario Reveron is a Counselor, Mental Health based in East Orange, NJ. Rosario Reveron practices in East Orange, NJ and has the professional credentials of LAC. The NPI Number for Rosario Reveron is 1063086338 and holds a License No. 37AC00507900 (NJ). The current practice location address for Rosario Reveron is 7 Glenwood Ave Ste 101, East Orange, NJ 07017-1041 and can be reached out via phone at 973-675-3817.

Provider Profile Details

NPI Number
1063086338
Provider Name
Rosario Reveron
Credential
LAC
Provider Entity Type
Individual
Gender
Female
Address
7 Glenwood Ave Ste 101, East Orange, NJ 07017-1041
Phone Number
973-675-3817
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Provider Enumeration Date
May 19, 2021
Last Update Date
September 1, 2026
Certification Date
May 19, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
7 Glenwood Ave Ste 101
East Orange, NJ 07017-1041
Zip
07017-1041
Phone Number
973-675-3817
East Orange, NJ 07017Get directions →

Provider Business Mailing Address Details

Address
31 Edgemont Cres
Wayne, NJ 07470-6604
City
Wayne
State
NJ
Zip
07470-6604
Phone Number
973-437-6288

License Information

License Number
37AC00507900
License State
NJ
Taxonomy
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Rosario Reveron, LAC?

The NPI number of Ms. Rosario Reveron, LAC is 1063086338. It was assigned on May 19, 2021 and is currently active in the NPPES registry.

What is the specialty of Ms. Rosario Reveron, LAC?

Ms. Rosario Reveron, LAC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NJ under license number 37AC00507900.

Where does Ms. Rosario Reveron, LAC practice?

The practice location is 7 Glenwood Ave Ste 101, East Orange, NJ 07017-1041. The office can be reached at 973-675-3817 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063086338 directly on the NPPES registry website.

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