Supplanter Counseling & Mediation, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SUPPLANTER COUNSELING & MEDIATION, LLC

Doing business as

Supplanter Counseling & Mediation, LLC

Practice address

1330 Parkway Ave Ste 7
Ewing, NJ 08628-3006

Phone

(609) 454-3080

Fax

(609) 454-3078

NPI assigned

Dec 3, 2019

Organization subpart

No

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

Authorized official

Name

Ms. Jacqueline C Porter- Stewart, LCADC, LCSW, SAPNPI 1912169103

Title

Owner

Phone

(609) 454-3080

Specialties & licenses 1

Addresses

Other names 1

• Supplanter Counseling & Mediation, LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jacqueline C Porter-Stewart, LCADC, LCSW, SAP,

  • Addiction (Substance Use Disorder) Counselor
  • Princeton, NJ
  • NPI 1912169103
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1575331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588118400000",
    "number": "1124665708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 PARKWAY AVE STE 12",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086283006",
            "telephone_number": "609-454-3080",
            "fax_number": "609-454-3078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 PARKWAY AVE STE 7",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086283006",
            "telephone_number": "609-454-3080",
            "fax_number": "609-454-3078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPLANTER COUNSELING & MEDIATION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-03",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A",
        "authorized_official_last_name": "PORTER- STEWART",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "609-454-3080",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCADC, LCSW, SAP"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Supplanter Counseling & Mediation, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Supplanter Counseling & Mediation, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stout's Charter
• Pradeep Sukumar, DMD
• Lateef Sulaimon
• Theodore Sulton
• Summit Medicine and Wellness
• Supportive Solutions, LLC
• Emily Suzuki
• Christopher R Swanson, APRN, FNP
• Tandem, Inc
• Dianne Tanis

• Clinical Social Worker in Ewing, NJ
• Providers in Ewing, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.