Jason Quarantillo, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LC3477 Issued in MD

Practice address

11763 Greenspring Ave
Lutherville, MD 21093-1428

Phone

(410) 989-3899

Fax

(410) 777-8742

NPI assigned

Sep 4, 2008

Sex

Male

Sole proprietor

Yes

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

State licenses

Practice roles

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.

• Gba Counseling and Instructional Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bel Air, MD
  • NPI 1497530240
  NPD Authorized official

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

{
    "created_epoch": "1220486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391731200000",
    "number": "1699923409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5415",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212855415",
            "telephone_number": "410-989-3899",
            "fax_number": "410-777-8742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11763 GREENSPRING AVE",
            "city": "LUTHERVILLE",
            "state": "MD",
            "postal_code": "210931428",
            "telephone_number": "410-989-3899",
            "fax_number": "410-777-8742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUARANTILLO",
        "first_name": "JASON",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-04",
        "last_updated": "2014-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC3477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Psychotherapeutic Community Service Association
• Lindsay Puhlman
• Nina Purdue
• Jill Purdy, LCSW-C
• Autumn Puryear, OTR/L
• William Scott Queale, M.D.
• Quest Diagnostics Incorporated MD
• Harry A Quigley, M.D.
• Angela Marie Quinn, LCSW-C
• Julie Quinn

• Professional Counselor in Lutherville, MD
• Providers in Lutherville, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2014; 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.