Michaelle Sullivan

Primary specialty

CounselorTaxonomy code 101Y00000X

License

37AC00855800 Issued in NJ

Practice address

622-624 Valley Rd
Upper Montclair, NJ 07043-1462

Phone

(732) 674-9857

NPI assigned

Feb 17, 2025

Last updated

Feb 17, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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

• Stellar Counseling Services

  • Clinical Social Worker
  • Upper Montclair, NJ
  • NPI 1740064377
  NPD

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

{
    "created_epoch": "1739750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1487459160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 ELM ST APT 1",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423265",
            "telephone_number": "862-285-1869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "622-624 VALLEY RD",
            "city": "UPPER MONTCLAIR",
            "state": "NJ",
            "postal_code": "070431462",
            "telephone_number": "732-674-9857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SULLIVAN",
        "first_name": "MICHAELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-17",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NJ",
            "license": "37AC00855800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Henry Srednicki, PHD
• David Patrick St.Ledger, D.D.S.
• David Steinke, PHD
• Stellar Counseling Services
• Betsy Stephens, LSW
• Upper Montclair Dental Associates
• Upper Montclair Psychological Associates, LLC
• Michele D Vallone, MSW, LCSW
• Deepti-Sagar Varma, M.D
• Verne Psychotherapy and Wellness LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.