Active NPI
Una Vita Support Brokerage, LLC
- School Counselor
- Princeton, NJ
National Provider Identifier
1720682792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Counselor
- Legal business name
- UNA VITA SUPPORT BROKERAGE, LLC
- Practice address
- 3490 US Highway 1 Ste 11
Princeton, NJ 08540-5920 - Phone
- (609) 775-9067
- NPI assigned
- Nov 30, 2020
- Last updated
- Nov 30, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Jennifer Elizabeth Young, LSC
- Title
- Ceo
- Phone
- (609) 651-9218
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Counselor | 101YS0200X | NU | Primary |
Addresses
Primary practice location
3490 US Highway 1 Ste 11
Princeton, NJ 08540-5920
Mailing address
3490 US Highway 1 Ste 11
Princeton, NJ 08540-5920
Phone (609) 775-9067
National Provider Directory
National Provider DirectoryLocations
3490 US Highway 1
Ste 11
Princeton, NJ 08540
Phone (609) 775-9067
Practitioners & affiliated clinicians
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.
-
- School Counselor
- Princeton, NJ
- NPI 1659970663
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606694400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1606694400000",
"number": "1720682792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3490 US HIGHWAY 1 STE 11",
"city": "PRINCETON",
"state": "NJ",
"postal_code": "085405920",
"telephone_number": "609-775-9067"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3490 US HIGHWAY 1 STE 11",
"city": "PRINCETON",
"state": "NJ",
"postal_code": "085405920",
"telephone_number": "609-775-9067"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNA VITA SUPPORT BROKERAGE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-30",
"last_updated": "2020-11-30",
"certification_date": "2020-11-30",
"status": "A",
"authorized_official_last_name": "YOUNG",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "ELIZABETH",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "609-651-9218",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LSC"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Princeton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.