Grace Olivia Putz

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LGP15168 Issued in MD

Practice address

22 W Padonia Rd Ste C353
Lutherville Timonium, MD 21093-2243

Phone

(410) 357-1607

NPI assigned

Jun 18, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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.

• Insight Wellness of Maryland

  • Clinical Social Worker
  • Lutherville, MD
  • NPI 1487010021

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1623974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775520000000",
    "number": "1811566474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 W PADONIA RD STE C353",
            "city": "LUTHERVILLE TIMONIUM",
            "state": "MD",
            "postal_code": "210932243",
            "telephone_number": "410-357-1607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 W PADONIA RD STE C353",
            "city": "LUTHERVILLE TIMONIUM",
            "state": "MD",
            "postal_code": "210932243",
            "telephone_number": "410-357-1607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUTZ",
        "first_name": "GRACE",
        "middle_name": "OLIVIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-18",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LGP15168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Primary Care of Maryland Professional Corporation
• Primary Care of Maryland Professional Corporation
• Privia Medical Group, LLC
• Protelix Health Clinic
• Protelix Health Clinic LLC
• Tanya Justyne Quille, PH.D.
• Jennifer Raia, LCSW-C, MSW
• Heather A. Raley, L.C.P.C
• Manjula Ramachandran
• Blake Reddick

• Mental Health Counselor in Lutherville Timonium, MD
• Providers in Lutherville Timonium, MD by specialty
• Mental Health Counselor in Maryland

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