Shannon K Costello
Counselor, Professional in Montclair, New Jersey
1407797541- Practice location
- 460 Bloomfield Ave Ste 209, Montclair, NJ 07042-3552
- Phone
- 732-674-9857
- Fax
- —
- Last updated
- April 2, 2026
Shannon Kiana Costello is a Counselor, Professional based in Montclair, NJ. Shannon Kiana Costello practices in Montclair, NJ. The NPI Number for Shannon Kiana Costello is 1407797541 and holds a License No. 37AC00952600 (NJ). The current practice location address for Shannon Kiana Costello is 460 Bloomfield Ave Ste 209, Montclair, NJ 07042-3552 and can be reached out via phone at 732-674-9857.
Provider Profile Details
- NPI Number
- 1407797541
- Provider Name
- Shannon Kiana Costello
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 460 Bloomfield Ave Ste 209, Montclair, NJ 07042-3552
- Phone Number
- 732-674-9857
- Primary Taxonomy
- Counselor, Professional · 101YP2500X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 2, 2026
- Last Update Date
- April 2, 2026
- Certification Date
- April 2, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 460 Bloomfield Ave Ste 209
Montclair, NJ 07042-3552 - City
- Montclair
- State
- New Jersey
- Zip
- 07042-3552
- Phone Number
- 732-674-9857
Provider Business Mailing Address Details
- Address
- 7 Alexandria RD
Morristown, NJ 07960-3638 - City
- Morristown
- State
- NJ
- Zip
- 07960-3638
- Phone Number
- 973-349-2994
License Information
- License Number
- 37AC00952600
- License State
- NJ
- 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 Shannon K Costello?
The NPI number of Shannon K Costello is 1407797541. It was assigned on April 2, 2026 and is currently active in the NPPES registry.
What is the specialty of Shannon K Costello?
Shannon K Costello is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in NJ under license number 37AC00952600.
Where does Shannon K Costello practice?
The practice location is 460 Bloomfield Ave Ste 209, Montclair, NJ 07042-3552. The office can be reached at 732-674-9857 (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 1407797541 directly on the NPPES registry website.