Active NPI
Meghan Kathleen Quinlan-Ilich, LPC
- Professional Counselor
- Kenilworth, NJ
National Provider Identifier
1851709182
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 37PC00786400
- Practice address
- 628 Newark Ave
Kenilworth, NJ 07033-1651 - Phone
- (908) 242-6208
- NPI assigned
- Jul 30, 2014
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 37PC00786400 | NJ | Primary |
Addresses
Primary practice location
628 Newark Ave
Kenilworth, NJ 07033-1651
Mailing address
628 Newark Ave
Kenilworth, NJ 07033-1651
Phone (732) 501-4676
Other practice location 1
628 Newark Ave
Kenilworth, NJ 07033-1651
Phone (732) 501-4676
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37PC00786400 | NJ | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629158400000",
"number": "1851709182",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "628 NEWARK AVE",
"city": "KENILWORTH",
"state": "NJ",
"postal_code": "070331651",
"telephone_number": "732-501-4676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "628 NEWARK AVE",
"city": "KENILWORTH",
"state": "NJ",
"postal_code": "070331651",
"telephone_number": "908-242-6208"
}
],
"practiceLocations": [
{
"address_1": "628 Newark Ave",
"address_purpose": "LOCATION",
"city": "Kenilworth",
"state": "NJ",
"postal_code": "070331651",
"country_code": "US",
"telephone_number": "732-501-4676",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "QUINLAN-ILICH",
"first_name": "MEGHAN",
"middle_name": "KATHLEEN",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-30",
"last_updated": "2021-08-17",
"certification_date": "2021-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NJ",
"license": "37PC00786400",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kenilworth, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.