Individual provider Active NPI

Stephanie Santos

  • Professional Counselor
  • West Orange, NJ
National Provider Identifier
1033742259
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00670200 Issued in NJ
Practice address
8 Marcella Ave
West Orange, NJ 07052-4164
Phone
(973) 736-2041
NPI assigned
Feb 17, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 37PC00670200 NJ Primary

Addresses

Primary practice location

8 Marcella Ave
West Orange, NJ 07052-4164

Mailing address

50 S 24TH St
Kenilworth, NJ 07033-1632
Phone (908) 327-3654

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
37PC00670200NJMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Main Street Counseling Service CurrentSince Feb 23, 2020 Accepting new patients
Main St Counseling Center PastSince Feb 23, 2020 Accepting new patients

Locations

8 Marcella Ave
West Orange, NJ 07052
Phone (973) 736-2041

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1581897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1033742259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 S 24TH ST",
            "city": "KENILWORTH",
            "state": "NJ",
            "postal_code": "070331632",
            "telephone_number": "908-327-3654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 MARCELLA AVE",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070524164",
            "telephone_number": "973-736-2041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTOS",
        "first_name": "STEPHANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-17",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00670200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Orange, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.