Individual provider Active NPI

Marquas Fountain, LPC, MA, NCC

  • Professional Counselor
  • Lancaster, PA
National Provider Identifier
1669028247
Registry record updated Aug 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC011276 Issued in PA
Practice address
48 N Queen St
Lancaster, PA 17603-3816
Phone
(301) 960-8991
NPI assigned
Aug 10, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC011276 PA Primary

Addresses

Primary practice location

48 N Queen St
Lancaster, PA 17603-3816

Mailing address

48 N Queen St
Lancaster, PA 17603-3816

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address marquas@sunpointwellness.com

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)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
PC011276PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Balanced World Counseling Services LLC PastSince Aug 18, 2019 Accepting new patients
Sun Point Wellness Center, LLC PastSince Aug 18, 2019 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1565395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565395200000",
    "number": "1669028247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 N QUEEN ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176033816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 N QUEEN ST",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176033816",
            "telephone_number": "301-960-8991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOUNTAIN",
        "first_name": "MARQUAS",
        "credential": "LPC, MA, NCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-10",
        "last_updated": "2019-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC011276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "marquas@sunpointwellness.com",
            "affiliation": "N",
            "address_1": "48 N Queen St",
            "city": "Lancaster",
            "state": "PA",
            "country_code": "US",
            "postal_code": "176033816",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lancaster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2019; 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.