KOREY SUPERNAW
NPI 1609752997
Counselor - Mental Health in Plattsburgh, NY

Active since August 13, 2025
22 US OVAL STE 100, PLATTSBURGH, NY 12903(518) 563-8000 Get Directions Write a Review

NPPES record last updated: August 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Korey Supernaw NPPES

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

KOREY SUPERNAW (NPI 1609752997) is an individual mental health provider in Plattsburgh, New York, licensed in New York (P137536) and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1609752997
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameKOREY SUPERNAW
Location Address22 US OVAL STE 100Plattsburgh, NY 12903-5901
Mailing Address2155 Route 22bMorrisonville, NY 12962-3417 · (518) 563-1400
Sole ProprietorNo
Enumeration DateAugust 13, 2025
NPPES CertifiedAugust 13, 2025
NPI 1609752997 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 NY · P137536
22 US OVAL STE 100, Plattsburgh, NY 12903

Other Providers at the Same Location NPPES 20

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

Registered Nurse
22 US OVAL STE 100
PLATTSBURGH, NY 12903
Counselor (Addiction (Substance Use Disorder))
22 US OVAL STE 100
PLATTSBURGH, NY 12903
Counselor (Mental Health)
22 US OVAL STE 100
PLATTSBURGH, NY 12903
Counselor (Mental Health)
22 US OVAL STE 100
PLATTSBURGH, NY 12903
Social Worker (Clinical)
22 US OVAL STE 100
PLATTSBURGH, NY 12903
Counselor (Mental Health)
22 US OVAL STE 100
PLATTSBURGH, NY 12903
Counselor (Mental Health)
22 US OVAL STE 100
PLATTSBURGH, NY 12903
Counselor (Mental Health)
22 US OVAL STE 100
PLATTSBURGH, NY 12903

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 Korey Supernaw's NPI number?

The NPI number for Korey Supernaw is 1609752997. It was assigned to this individual provider in the NPPES registry on August 13, 2025.

Where is Korey Supernaw located?

Korey Supernaw practices at 22 Us Oval Ste 100, Plattsburgh, NY 12903. The listed phone number is (518) 563-8000.

What is Korey Supernaw's specialty?

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

When was this NPI record last updated?

The NPPES record for Korey Supernaw was last updated on August 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.