Individual provider Active NPI

Maitry Sewnath

  • Professional Counselor
  • Stirling, NJ
National Provider Identifier
1720804255
Registry record updated Nov 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37AC00747800 Issued in NJ
Practice address
1390 Valley Rd Ste 1D
Stirling, NJ 07980-1346
Phone
(908) 809-9463
NPI assigned
Nov 30, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 37AC00747800 NJ Primary

Addresses

Primary practice location

1390 Valley Rd Ste 1D
Stirling, NJ 07980-1346

Mailing address

1390 Valley Rd Ste 1D
Stirling, NJ 07980-1346
Phone (908) 809-9463

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
37AC00747800NJMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Awaken Wellness, LLC CurrentSince May 8, 2018 Accepting new patients

Locations

75 Claremont Rd
Ste 204
Bernardsville, NJ 07924
Phone (908) 204-9312

560 Mountain Ave
Ste 3
Gillette, NJ 07933
Phone (908) 809-9463

1390 Valley Rd
Ste 1D
Stirling, NJ 07980
Phone (908) 809-9463

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1732924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732924800000",
    "number": "1720804255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1390 VALLEY RD STE 1D",
            "city": "STIRLING",
            "state": "NJ",
            "postal_code": "079801346",
            "telephone_number": "908-809-9463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 VALLEY RD STE 1D",
            "city": "STIRLING",
            "state": "NJ",
            "postal_code": "079801346",
            "telephone_number": "908-809-9463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEWNATH",
        "first_name": "MAITRY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-30",
        "last_updated": "2024-11-30",
        "certification_date": "2024-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37AC00747800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stirling, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2024; 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.