SUPPORTIVE SPACE COUNSELING CENTER
NPI 1093337396
Clinic/Center - Mental Health (Including Community Mental Health Center) in Mountainside, NJ
About Supportive Space Counseling Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUPPORTIVE SPACE COUNSELING CENTER (NPI 1093337396) is a healthcare organization registered as a mental health (including community mental health center) in Mountainside, New Jersey and active in the NPI registry since May 2020. The organization lists Lindsay A Scholz, Owner/clinical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Supportive Space Counseling Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Supportive Space Counseling Center, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (5)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Supportive Space Counseling Center's NPI number?
The NPI number for Supportive Space Counseling Center is 1093337396. It was assigned to this organization in the NPPES registry on May 11, 2020.
Where is Supportive Space Counseling Center located?
Supportive Space Counseling Center is located at 1320 Outlook Dr, Mountainside, NJ 07092. The listed phone number is (609) 429-4451.
What is Supportive Space Counseling Center's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
Is Supportive Space Counseling Center enrolled in Medicare?
Yes. Supportive Space Counseling Center is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Supportive Space Counseling Center?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Supportive Space Counseling Center. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Mental Health Counselor (3) and Clinical Social Worker (2). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Supportive Space Counseling Center was last updated on May 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Supportive Space Counseling Center · NPI 1093337396
Mental Health (Including Community Mental Health Center) organization in Mountainside, New Jersey. Organization record, active in the CMS NPPES registry since May 11, 2020.
## Identity
- **NPI:** 1093337396 (Entity type: Organization)
- **Enumerated:** May 11, 2020
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Lindsay Scholz, OWNER/CLINICAL DIRECTOR
## Practice location
- **Address:** 1320 OUTLOOK DR, Mountainside, NJ 07092-1411
- **Phone:** (609) 429-4451
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
## Record status
- **NPPES last updated:** May 11, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1093337396) · Data from the CMS NPPES public registry.