LAURA STYPULKOSKI LPC
NPI 1053043729
Counselor - Mental Health in Montclair, NJ

Active since June 30, 2022Opted out of Medicare · through Nov 12, 2026
33 S FULLERTON AVE, MONTCLAIR, NJ 07042(973) 509-9777 Get Directions Write a Review

NPPES record last updated: June 30, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Laura Stypulkoski Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAURA STYPULKOSKI LPC (NPI 1053043729) is an individual mental health provider in Montclair, New Jersey, licensed in New Jersey (37PC00837500) and active in the NPI registry since June 2022. She has opted out of Medicare through November 12, 2026.

NPPES Registry Identity

NPI1053043729
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLAURA STYPULKOSKICredential: LPC
Location Address33 S FULLERTON AVEMontclair, NJ 07042-3358
Mailing Address33 S Fullerton AveMontclair, NJ 07042-3358 · (973) 509-9777
Sole ProprietorNo
Enumeration DateJune 30, 2022
NPPES CertifiedJune 29, 2022
NPI 1053043729 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in NJ · 37PC00837500
33 S FULLERTON AVE, Montclair, NJ 07042

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Laura Stypulkoski Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 12, 2024 through November 12, 2026.

Opt-Out Effective DateNovember 12, 2024
Opt-Out In Effect ThroughNovember 12, 2026Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
33 S FULLERTON AVE
MONTCLAIR, NJ 07042
Social Worker (Clinical)
33 S FULLERTON AVE
MONTCLAIR, NJ 07042
Social Worker (Clinical)
33 S FULLERTON AVE
MONTCLAIR, NJ 07042
Social Worker (Clinical)
33 S FULLERTON AVE
MONTCLAIR, NJ 07042
Social Worker (Clinical)
33 S FULLERTON AVE
MONTCLAIR, NJ 07042
Social Worker (Clinical)
33 S FULLERTON AVE
MONTCLAIR, NJ 07042
Social Worker (Clinical)
33 S FULLERTON AVE
MONTCLAIR, NJ 07042
Clinic/Center (Mental Health (Including Community Mental Health Center))
33 S FULLERTON AVE
MONTCLAIR, NJ 07042

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Laura Stypulkoski's NPI number?

The NPI number for Laura Stypulkoski is 1053043729. It was assigned to this individual provider in the NPPES registry on June 30, 2022.

Where is Laura Stypulkoski located?

Laura Stypulkoski practices at 33 S Fullerton Ave, Montclair, NJ 07042. The listed phone number is (973) 509-9777.

What is Laura Stypulkoski's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Laura Stypulkoski enrolled in Medicare?

No. Laura Stypulkoski has opted out of Medicare through November 12, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Laura Stypulkoski was last updated on June 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.