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Active NPI 1487459160 Individual Practitioner Female Practitioner

Michaelle Sullivan

Counselor • Upper Montclair, NJ

Professional Overview & Biography Verified Profile Summary

Michaelle Sullivan is a registered healthcare professional specializing in Counselor in Upper Montclair, NJ. Practice services are available at 622-624 VALLEY RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

622-624 Valley Rd

Upper Montclair, NJ 070431462

Telephone 7326749857
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Upper Montclair, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
5 Specialists

Practicing in Upper Montclair, NJ (1633 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-02-16
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License NJ 37AC00855800

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Ebony Mines

Marriage & Family Therapist

NPI 1104651181
Sara Benjamin

Social Worker

NPI 1164262697
Denise Codner

Social Worker

NPI 1174419345
Megan Bohse , LAC

Counselor - Mental Health

NPI 1235955501

Licensed Acupuncturist

Marcus Wright , LAC

Counselor - Mental Health

NPI 1255178364

Licensed Acupuncturist

Sylvia Abuissa

Counselor - Professional

NPI 1316820228

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 17, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location February 17, 2025

Registered at 622-624 VALLEY RD, UPPER MONTCLAIR, NJ 070431462 (Tel: 7326749857)

📍
Updated Business Mailing Address February 17, 2025

Registered at 73 ELM ST APT 1, MONTCLAIR, NJ 070423265 (Tel: 8622851869)

👤
Provider Name / Credentials Updated February 17, 2025

Recorded as MICHAELLE SULLIVAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 17, 2025

Counselor (License #37AC00855800 in NJ)

🟢
Initial NPI Registration & Enumeration February 17, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1487459160
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 17, 2025
Last Update: February 17, 2025
Sole Proprietor: Yes

Mailing Address

73 Elm St Apt 1

Montclair, NJ 070423265

Phone: 8622851869

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.