Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SUSAN R SPORN LAC
NPI 1639940497
Counselor - Mental Health in Lakewood, NJ

Active since January 11, 2024
7 MULBERRY LN, LAKEWOOD, NJ 08701(917) 596-3050 Get Directions Write a Review

NPPES record last updated: November 1, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Susan R Sporn Lac NPPES

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

SUSAN R SPORN LAC (NPI 1639940497) is an individual mental health provider in Lakewood, New Jersey, licensed in New Jersey (37PC01294300) and active in the NPI registry since January 2024. She maintains a secondary practice location in Jackson.

NPPES Registry Identity

NPI1639940497
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSUSAN R SPORNCredential: LAC
Location Address7 MULBERRY LNLakewood, NJ 08701-1142
Mailing Address9 Mimosa CtJackson, NJ 08527-1239 · (917) 596-3050
Sole ProprietorNo
Enumeration DateJanuary 11, 2024
Last NPPES UpdateNovember 1, 2026
NPPES CertifiedNovember 1, 2026
✔ NPI 1639940497 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 · 37PC01294300
7 MULBERRY LN, Lakewood, NJ 08701

Other Names 1

Professional Name (2)Mrs. Susan R Tepper Lpc

Secondary Practice Location 1

Location 19 Mimosa CtJackson, NJ 08527-1239 · Phone (917) 596-3050

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 Susan Sporn's NPI number?

The NPI number for Susan Sporn is 1639940497. It was assigned to this individual provider in the NPPES registry on January 11, 2024. The provider is also known as Mrs. Susan R Tepper Lpc.

Where is Susan Sporn located?

Susan Sporn practices at 7 Mulberry Ln, Lakewood, NJ 08701. The listed phone number is (917) 596-3050.

What is Susan Sporn'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 Susan Sporn was last updated on November 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 days 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.