Active NPI
Lydia Eileen Quintero, LPC
- Professional Counselor
- Fort Worth, TX
National Provider Identifier
1033680947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 3301 West Fwy Ste 105
Fort Worth, TX 76107-5767 - Phone
- (817) 812-3021
- Fax
- (817) 812-3035
- NPI assigned
- Dec 17, 2018
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
3301 West Fwy Ste 105
Fort Worth, TX 76107-5767
Mailing address
PO Box 2603
Fort Worth, TX 76113-2603
Other practice location 1
3840 Hulen St
Fort Worth, TX 76107-7277
Phone (817) 569-4300 ext. 4786
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Homestead Hope Counseling Services, LLC | Professional | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1545004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642636800000",
"number": "1033680947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2603",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761132603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3301 WEST FWY STE 105",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761075767",
"telephone_number": "817-812-3021",
"fax_number": "817-812-3035"
}
],
"practiceLocations": [
{
"address_1": "3840 Hulen St",
"address_purpose": "LOCATION",
"city": "Fort Worth",
"state": "TX",
"postal_code": "761077277",
"country_code": "US",
"telephone_number": "817-569-4300 x4786",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "QUINTERO",
"first_name": "LYDIA",
"middle_name": "EILEEN",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-17",
"last_updated": "2022-01-20",
"certification_date": "2022-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.