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Patrick John Revello , MA, LPC

Counselor - Professional β€’ Sparta, NJ

Active NPI 1245580976 Individual Practitioner Male Practitioner
Practice location in NPPES

14 Main St
Sparta, NJ 078711948

Call 2014989140 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

14 Main St

Sparta, NJ 078711948

Telephone 2014989140
Organization at the Same NPPES Address or Phone
Advance Housing, Inc. Facility NPI 1346759537

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 2 distinct additional practice-address records in Morristown, NJ; Phillipsburg, NJ. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2012

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians, CMS release of October 2, 2026; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians, CMS release of October 2, 2026.

Guide: How Medicare covers telehealth

Compared with the same specialty in Sparta and New Jersey

48 active clinicians are listed under Counselor - Professional with a practice address in Sparta, NJ (4,203 in New Jersey).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Sparta

0% of these 48 clinicians have the CMS telehealth indicator.

22.9% of these 48 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS release of October 2, 2026, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-01-17
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

License # reported to NPPES NJ 37PC00601200
Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New Jersey Division of Consumer Affairs.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Agency Provider #
0023701 (NJ)
Other Identifier Agency Program Provider #
7794703 (NJ)

Secondary Practice Locations

6 Dumont Pl, 1st Floor

Morristown, NJ 079608104

Phone: 9086744438

600 Coventry Dr

Phillipsburg, NJ 088651971

Phone: 9084544070

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

15 Historical Events
πŸ“
Updated Practice Location January 17, 2025

Registered at 14 MAIN ST, SPARTA, NJ 078711948 (Tel: 2014989140)

πŸ“
Updated Business Mailing Address January 17, 2025

Registered at 14 MAIN ST, SPARTA, NJ 078711948 (Tel: 2014989140)

🏒
Secondary Practice Location Registered January 17, 2025

Additional practice office at 600 Coventry Dr, Phillipsburg, NJ 088651971

🏒
Secondary Practice Location Registered January 17, 2025

Additional practice office at 6 Dumont Pl, 1st Floor, Morristown, NJ 079608104

βœ…
NPI Profile Active October 28, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Practice Location October 28, 2017

Registered at 600 COVENTRY DR, PHILLIPSBURG, NJ 088651971 (Tel: 9084544070)

πŸ“
Updated Business Mailing Address October 28, 2017

Registered at 600 COVENTRY DR, PHILLIPSBURG, NJ 088651971 (Tel: 9084544070)

πŸ‘€
Provider Name / Credentials Updated October 28, 2017

Recorded as PATRICK REVELLO, MA, LPC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 28, 2017

Counselor

βœ…
NPI Profile Active December 01, 2015

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) December 01, 2015

Registered at 6 DUMONT PL, 1ST FLOOR, MORRISTOWN, NJ 079608104 (Tel: 9086744438)

πŸ“
Business Mailing Address (Initial Record) December 01, 2015

Registered at 6 DUMONT PL, 1ST FLOOR, MORRISTOWN, NJ 079608104 (Tel: 9086744438)

πŸ‘€
Provider Name / Credentials (Initial Record) December 01, 2015

Recorded as PATRICK REVELLO, MA, LAC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 01, 2015

Counselor

🟒
Initial NPI Registration & Enumeration September 10, 2012

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1245580976
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 10, 2012
Last Update: January 17, 2025
Sole Proprietor: No

Mailing Address

14 Main St

Sparta, NJ 078711948

Phone: 2014989140

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.