JUSTIN ADAM SUPNICK
NPI 1881498632
Counselor - Mental Health in Marlton, NJ
Active since April 02, 2025
About Justin Adam Supnick NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JUSTIN ADAM SUPNICK (NPI 1881498632) is an individual mental health provider in Marlton, New Jersey, licensed in New Jersey (37AC00949000) and active in the NPI registry since April 2025.
NPPES Registry Identity
NPI1881498632
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJUSTIN ADAM SUPNICK
Location Address9 REGENCY CTMarlton, NJ 08053-4239
Mailing Address9 Regency CtMarlton, NJ 08053-4239 · (856) 223-2222
Phone(856) 223-2222
Sole ProprietorNo
Enumeration DateApril 2, 2025
Last NPPES UpdateApril 13, 20262 updates tracked since enumeration
NPPES CertifiedApril 13, 2026
✔ NPI 1881498632 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 · 37AC00949000
9 REGENCY CT, Marlton, NJ 08053
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1881498632, enumerated as an "individual" on April 02, 2025.
The provider is located at 9 REGENCY CT MARLTON, NJ 08053 and the phone number is (856) 223-2222.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
