Douglas Edmund Rynkewicz, MA, EDS, LAC
NPI 1922764273ActiveIndividual· Counselor, Professional· Westampton, NJ
Counselor, Professional (MA, EDS, LAC) with Legacy Treatment Services Inc, practicing in Westampton, New Jersey. Medicare paid $3,112 for services to 15 patients in 2024.
Overview
| NPI | 1922764273 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MA, EDS, LAC |
| Sole proprietor | No |
| NPI issued | Nov 11, 2021 |
| Last updated in NPPES | Nov 11, 2021 |
| Certified by provider | Nov 11, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | 37AC00440200 | NJ |
| Counselor, School | 101YS0200X | 1094746 | 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) | Enrolled Practitioner - Mental Health Counselor (NJ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 15 |
|---|---|
| Services billed | 44 across 5 procedure codes |
| Paid by Medicare | $3,112 |
Education and affiliations
| Graduation year | 2018 |
|---|---|
| Medicare specialty | Mental Health Counselor |
| Telehealth | Offers telehealth |
Medical group
- Legacy Treatment Services IncNorthfield, NJ · 13 clinicians
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