Active NPIIndividual provider

Grace L Suttera, MED, LAC

Counselor, Mental Health in Glassboro, New Jersey

NPI Number1104762046
Practice location
42 Delsea Dr S, Glassboro, NJ 08028-2621
Fax
—
Last updated
April 24, 2026

Grace Lynn Suttera is a Counselor, Mental Health based in Glassboro, NJ. Grace Lynn Suttera practices in Glassboro, NJ and has the professional credentials of MED, LAC. The NPI Number for Grace Lynn Suttera is 1104762046 and holds a License No. 3071687 (NJ). The current practice location address for Grace Lynn Suttera is 42 Delsea Dr S, Glassboro, NJ 08028-2621 and can be reached out via phone at 844-422-3632.

Provider Profile Details

NPI Number
1104762046
Provider Name
Grace Lynn Suttera
Credential
MED, LAC
Provider Entity Type
Individual
Gender
Female
Address
42 Delsea Dr S, Glassboro, NJ 08028-2621
Phone Number
844-422-3632
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Provider Enumeration Date
April 24, 2026
Last Update Date
April 24, 2026
Certification Date
April 24, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
42 Delsea Dr S
Glassboro, NJ 08028-2621
Zip
08028-2621
Phone Number
844-422-3632
Glassboro, NJ 08028Get directions →

Provider Business Mailing Address Details

Address
124 Vermont Ave
Villas, NJ 08251-1549
City
Villas
State
NJ
Zip
08251-1549
Phone Number
609-827-0271

License Information

License Number
3071687
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 Grace L Suttera, MED, LAC?

The NPI number of Grace L Suttera, MED, LAC is 1104762046. It was assigned on April 24, 2026 and is currently active in the NPPES registry.

What is the specialty of Grace L Suttera, MED, LAC?

Grace L Suttera, MED, LAC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in NJ under license number 3071687.

Where does Grace L Suttera, MED, LAC practice?

The practice location is 42 Delsea Dr S, Glassboro, NJ 08028-2621. The office can be reached at 844-422-3632 (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 1104762046 directly on the NPPES registry website.

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