Quintessential Wellness, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

QUINTESSENTIAL WELLNESS, LLC

Practice address

4007 Bossler Rd
Bainbridge, PA 17502-9410

Phone

(973) 668-9530

NPI assigned

Oct 4, 2024

Last updated

Oct 4, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Danielle Moore, LPCNPI 1235604901

Title

Owner

Phone

(973) 668-9530

Specialties & licenses 1

Addresses

Other names 1

• Quintessential Wellness, LLC Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Danielle Moore, LPC

  • Mental Health Counselor
  • Lancaster, PA
  • NPI 1235604901
  NPD Authorized official

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

{
    "created_epoch": "1728000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728000000000",
    "number": "1972322279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 TOWER DR",
            "city": "ELIZABETHTOWN",
            "state": "PA",
            "postal_code": "170228320",
            "telephone_number": "973-668-9530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4007 BOSSLER RD",
            "city": "BAINBRIDGE",
            "state": "PA",
            "postal_code": "175029410",
            "telephone_number": "973-668-9530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUINTESSENTIAL WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-04",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-668-9530",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quintessential Wellness, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Kelly K. Buck
• Jill Shook Therapy, LLC
• Rebecca Mohr, LSW
• Jill Shook, MS, CCC-SLP
• Christiana Stoltzfus

• Mental Health Clinic/Center (Including Community Mental Health Center) in Bainbridge, PA
• Providers in Bainbridge, PA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; 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.