NPIMap

Organization Active NPI

Stellar Counseling Services

  • Clinical Social Worker
  • Upper Montclair, NJ
National Provider Identifier
1740064377
Registry record updated Oct 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
STELLAR COUNSELING SERVICES
Practice address
622-624 Valley Rd
Upper Montclair, NJ 07043-1462
Phone
(732) 674-9857
NPI assigned
Aug 23, 2023
Last updated
Oct 27, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2024

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

Authorized official

Name
Maggie Matika
Title
Owner
Phone
(732) 674-9857

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

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

Mailing address

97 Vivante Blvd # 303
Punta Gorda, FL 33950-2025
Phone (732) 674-9857

Other practice location 1

37 Maple St
Summit, NJ 07901-2529
Phone (732) 674-9857

Other practice location 2

625 Central Ave Ste 9-11
Westfield, NJ 07090-2524
Phone (732) 674-9857

Other practice location 3

97 Vivante Blvd # 303
Punta Gorda, FL 33950-2025
Phone (732) 674-9857

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241114003420 NJ Part B Supplier - Clinic/Group Practice 4789118688 Receives reassigned benefits from 1 practitioner
Practice locations: Montclair, NJ

National Provider Directory

National Provider Directory

Locations

625 Central Ave
Ste 911
Westfield, NJ 07090

Practitioners & affiliated clinicians

Practitioners 12

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": "1692748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729987200000",
    "number": "1740064377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 VIVANTE BLVD # 303",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339502025",
            "telephone_number": "732-674-9857"
        },
        {
            "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": [
        {
            "address_1": "37 Maple St",
            "address_purpose": "LOCATION",
            "city": "Summit",
            "state": "NJ",
            "postal_code": "079012529",
            "country_code": "US",
            "telephone_number": "732-674-9857",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "625 Central Ave Ste 9-11",
            "address_purpose": "LOCATION",
            "city": "Westfield",
            "state": "NJ",
            "postal_code": "070902524",
            "country_code": "US",
            "telephone_number": "732-674-9857",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "97 Vivante Blvd # 303",
            "address_purpose": "LOCATION",
            "city": "Punta Gorda",
            "state": "FL",
            "postal_code": "339502025",
            "country_code": "US",
            "telephone_number": "732-674-9857",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "STELLAR COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-23",
        "last_updated": "2024-10-27",
        "certification_date": "2024-10-27",
        "status": "A",
        "authorized_official_last_name": "MATIKA",
        "authorized_official_first_name": "MAGGIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-674-9857"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Montclair, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.