Amelo Bacchus, LAC
NPI 1205656402ActiveIndividual· Counselor, Mental Health· East Orange, NJ
Counselor, Mental Health (LAC) in East Orange, New Jersey, licensed in NJ, with an NPI issued in October 2024.
Overview
| NPI | 1205656402 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LAC |
| Sole proprietor | Yes |
| NPI issued | Oct 12, 2024 |
| Last updated in NPPES | Oct 12, 2024 |
| Certified by provider | Oct 12, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | 37AC00826000 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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