Jacob Theodore Squicciarini, MS, LCGC

Primary specialty

Genetic Counselor (M.S.)Taxonomy code 170300000X

License

GC000838 Issued in PA

Practice address

601 Elmwood Ave
Rochester, NY 14642-0001

Phone

(585) 275-5857

Fax

(585) 756-8054

NPI assigned

Feb 27, 2025

Last updated

Aug 17, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1740614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1447057328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 ELMWOOD AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146420001",
            "telephone_number": "585-275-5857",
            "fax_number": "585-756-8054"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "125 Lattimore Rd Ste G110",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146204100",
            "country_code": "US",
            "telephone_number": "585-486-0930",
            "fax_number": "585-340-5399",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 Elmwood Ave",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "146420001",
            "country_code": "US",
            "telephone_number": "585-276-7190",
            "fax_number": "585-756-8054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SQUICCIARINI",
        "first_name": "JACOB",
        "middle_name": "THEODORE",
        "credential": "MS, LCGC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-02-27",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "PA",
            "license": "GC000838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Elizabeth Spurr
• Kailee Spusta
• Alex C Spyropoulos, MD
• Michelle Janine Squicciarini-Beterbiyev, LMHC
• Abigail Squicciarini, LMSW
• Lauren Marie Squiers
• Daniel Frank Squilla, DDS
• Maureen P Squilla, RPH
• Molly Squilla
• Cassandra Anne Squirrell, NP

• Genetic Counselor (M.S.) in Rochester, NY
• Providers in Rochester, NY by specialty
• Genetic Counselor (M.S.) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.