Supernova Counseling LLC
Counselor, Professional in Montclair, New Jersey
1396546792- Practice location
- 41 Watchung Plz Ste 155, Montclair, NJ 07042-4117
- Phone
- 786-475-5468
- Fax
- —
- Last updated
- March 21, 2025
Supernova Counseling LLC is a healthcare organization based in Montclair, NJ. Supernova Counseling LLC practices in Montclair, NJ. The NPI Number for Supernova Counseling LLC is 1396546792. The current practice location address for Supernova Counseling LLC is 41 Watchung Plz Ste 155, Montclair, NJ 07042-4117 and can be reached out via phone at 786-475-5468.
Provider Profile Details
- NPI Number
- 1396546792
- Provider Name
- Supernova Counseling LLC
- Provider Entity Type
- Organization
- Address
- 41 Watchung Plz Ste 155, Montclair, NJ 07042-4117
- Phone Number
- 786-475-5468
- Primary Taxonomy
- Counselor, Professional · 101YP2500X
- Organization Subpart
- No
- Authorized Official
- Jodi Thomas, MD · Owner · 786-475-5468
- Provider Enumeration Date
- March 21, 2025
- Last Update Date
- March 21, 2025
- Certification Date
- March 18, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 41 Watchung Plz Ste 155
Montclair, NJ 07042-4117 - City
- Montclair
- State
- New Jersey
- Zip
- 07042-4117
- Phone Number
- 786-475-5468
Provider Business Mailing Address Details
- Address
- 41 Watchung Plz Ste 155
Montclair, NJ 07042-4117 - City
- Montclair
- State
- NJ
- Zip
- 07042-4117
- Phone Number
- 786-475-5468
License Information
- Taxonomy
- Counselor, Professional · 101YP2500X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Supernova Counseling LLC?
The NPI number of Supernova Counseling LLC is 1396546792. It was assigned on March 21, 2025 and is currently active in the NPPES registry.
What is the specialty of Supernova Counseling LLC?
Supernova Counseling LLC is registered under the primary taxonomy Counselor, Professional (code 101YP2500X).
Where does Supernova Counseling LLC practice?
The practice location is 41 Watchung Plz Ste 155, Montclair, NJ 07042-4117. The office can be reached at 786-475-5468 (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 1396546792 directly on the NPPES registry website.