Active NPI
Zachary Monroe Quintanar
- Professional Counselor
- Cody, WY
National Provider Identifier
1023737152
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC-2377
- Practice address
- 2538 Big Horn Ave
Cody, WY 82414-9299 - Phone
- (307) 587-2197
- NPI assigned
- Aug 23, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| PPC-1344 | WY | MD | Counselor |
| LPC-2377 | WY | MD | Professional Counselor |
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | PPC-1344 | WY | |
| Professional Counselor | 101YP2500X | LPC-2377 | WY | Primary |
Addresses
Primary practice location
2538 Big Horn Ave
Cody, WY 82414-9299
Mailing address
2538 Big Horn Ave
Cody, WY 82414-9299
Phone (307) 587-2197
NPI Registry JSON
{
"created_epoch": "1661212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737417600000",
"number": "1023737152",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2538 BIG HORN AVE",
"city": "CODY",
"state": "WY",
"postal_code": "824149299",
"telephone_number": "307-587-2197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2538 BIG HORN AVE",
"city": "CODY",
"state": "WY",
"postal_code": "824149299",
"telephone_number": "307-587-2197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUINTANAR",
"first_name": "ZACHARY",
"middle_name": "MONROE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-08-23",
"last_updated": "2025-01-21",
"certification_date": "2025-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WY",
"license": "PPC-1344",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WY",
"license": "LPC-2377",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cody, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.