Gillian Aloisia Squillacioti

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

11397 Issued in NC

Practice address

1635 S Dekalb St
Apt 109
Shelby, NC 28152

Phone

(631) 974-9403

NPI assigned

Dec 11, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Therapeutic Center for Change

  • Mental Health Counselor
  • Gastonia, NC
  • NPI 1598381030
  NPD Authorized official

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

{
    "created_epoch": "1418256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423440000000",
    "number": "1982002614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1635 S DEKALB ST",
            "address_2": "APT 109",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "28152",
            "telephone_number": "631-974-9403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1635 S DEKALB ST",
            "address_2": "APT 109",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "28152",
            "telephone_number": "631-974-9403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SQUILLACIOTI",
        "first_name": "GILLIAN",
        "middle_name": "ALOISIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-11",
        "last_updated": "2015-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "11397",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "006155",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dipal Soni
• Sowing Seeds Outreach Therapy, PLLC
• Deborah A Spada, PA-C
• Katie Sparks, CNS
• Joel Fred Spragins, MD
• Abigail Nicole Squires, LPCA
• Jared Wesley St. Amant
• Sara Starbeck, LMBT
• April C Stearns, RPH
• Ashley Megan Lindsay Stephens, FNP

• Mental Health Counselor in Shelby, NC
• Providers in Shelby, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2015; 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.