KIMBERLY SHONTELLE STEVENSON NPI 1568751501

NPI Information

  • NPI: 1568751501
  • Provider Name: KIMBERLY SHONTELLE STEVENSON
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2201 BERGENLINE AVE
    UNION CITY, NJ
    ZIP 07087
  • Phone: (201) 558-3700

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NPI Details

Kimberly Shontelle Stevenson is a mental health counselor in Union City, NJ with 16 years of experience. Kimberly Shontelle Stevenson NPI is 1568751501. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2201 BERGENLINE AVE
UNION CITY, NJ
ZIP 07087-582
Phone: (201) 558-3700
Fax: (201) 392-5048

The NPI 1568751501 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 3/30/2011 and was last updated on 7/10/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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