Active NPI
Lawrence John Quintiliani
- Mental Health Counselor
- Highland, NY
National Provider Identifier
1013090356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- PR018471
- Practice address
- 9 Lisa Dr.
Highland, NY 12528-0814 - Phone
- (845) 691-6502
- Fax
- (845) 691-6502
- NPI assigned
- Oct 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | PR018471 | NY | Primary |
Addresses
Primary practice location
9 Lisa Dr.
Highland, NY 12528-0814
Mailing address
9 Lisa Dr.
P.O. Box 814
Highland, NY 12528-0814
Phone (845) 691-6502
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PR018471 | NY | MD | Mental Health Counselor |
| 018471 | NY | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161561600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013090356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 LISA DR.",
"address_2": "P.O. BOX 814",
"city": "HIGHLAND",
"state": "NY",
"postal_code": "125280814",
"telephone_number": "845-691-6502",
"fax_number": "845-691-6502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 LISA DR.",
"city": "HIGHLAND",
"state": "NY",
"postal_code": "125280814",
"telephone_number": "845-691-6502",
"fax_number": "845-691-6502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUINTILIANI",
"first_name": "LAWRENCE",
"middle_name": "JOHN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NY",
"license": "PR018471",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Highland, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.