Active NPI
Lydia Arteel Quinn, LSW
- Mental Health Counselor
- Columbus, IN
National Provider Identifier
1013690957
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 33011552A
- Practice address
- 1950 Doctors Park Dr Ste a
Columbus, IN 47203-2376 - Phone
- (812) 807-1579
- NPI assigned
- Aug 8, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 33011552A | IN | Primary |
Addresses
Primary practice location
1950 Doctors Park Dr Ste a
Columbus, IN 47203-2376
Mailing address
2801 W Heartwood CT Apt a
Bloomington, IN 47403-5254
Phone (812) 345-8405
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 |
|---|---|---|---|
| 33011552A | IN | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691452800000",
"number": "1013690957",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2801 W HEARTWOOD CT APT A",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474035254",
"telephone_number": "812-345-8405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1950 DOCTORS PARK DR STE A",
"city": "COLUMBUS",
"state": "IN",
"postal_code": "472032376",
"telephone_number": "812-807-1579"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUINN",
"first_name": "LYDIA",
"middle_name": "ARTEEL",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-08",
"last_updated": "2023-08-08",
"certification_date": "2023-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IN",
"license": "33011552A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.