Organization Active NPI

Una Vita Support Brokerage, LLC

  • School Counselor
  • Princeton, NJ
National Provider Identifier
1720682792
Registry record updated Nov 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
School CounselorTaxonomy code 101YS0200X
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2020

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

Authorized official

Name
Mrs. Jennifer Elizabeth Young, LSCNPI 1659970663
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.