Stuart Clutterbuck, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

37PC00851300 Issued in NJ

Practice address

36 S Willow St
Montclair, NJ 07042-3335

Phone

(917) 328-3550

NPI assigned

Oct 24, 2022

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1821715566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 S WILLOW ST",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 S WILLOW ST",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070423335",
            "telephone_number": "917-328-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLUTTERBUCK",
        "first_name": "STUART",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-24",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, School",
            "state": "NJ",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00851300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "h",
            "affiliation": "N",
            "endpointDescription": "b",
            "address_1": "36 S Willow St",
            "city": "Montclair",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070423335",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Janice I Cohn, DSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.