Supernova Counseling LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

SUPERNOVA COUNSELING LLC

Practice address

41 Watchung PLZ Ste 155
Montclair, NJ 07042-4117

Phone

(786) 475-5468

NPI assigned

Mar 21, 2025

Organization subpart

No

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

Authorized official

Name

Jodi Thomas, MD

Title

Owner

Phone

(786) 475-5468

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1742515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742515200000",
    "number": "1396546792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 WATCHUNG PLZ STE 155",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070424117",
            "telephone_number": "786-475-5468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 WATCHUNG PLZ STE 155",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070424117",
            "telephone_number": "786-475-5468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERNOVA COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-21",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-18",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "JODI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-475-5468",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolina Suarez, LPC
• Katherine Sullivan, LAC
• Summit Medical Group PA
• Sunset Hospital Physicians, P.a.
• Superior Physical Medicine LLC
• Ben J Susswein, PHD
• Elizabeth Swick, MS, RD
• Sade Swift
• Mary Margaret Switzer, LCSW
• David George Szmak, PSY.D.

• Professional Counselor in Montclair, NJ
• Providers in Montclair, NJ by specialty
• Professional Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.