Carlos Manuel Quijada, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

80363 Issued in TX

Practice address

4201 Medical Dr Ste 330
San Antonio, TX 78229-5805

Phone

(210) 614-4990

NPI assigned

Sep 9, 2018

Last updated

Sep 9, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mind Sight LLC

  dba Mind Your Self

  • Clinical Social Worker
  • San Antonio, TX
  • NPI 1649653908
  NPD (past)

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

{
    "created_epoch": "1536451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536451200000",
    "number": "1033692751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2110 BUCKNER PASS",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782534776",
            "telephone_number": "210-350-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 MEDICAL DR STE 330",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782295805",
            "telephone_number": "210-614-4990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4203 Woodcock Dr Ste 216",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782281312",
            "country_code": "US",
            "telephone_number": "210-564-9116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUIJADA",
        "first_name": "CARLOS",
        "middle_name": "MANUEL",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-09",
        "last_updated": "2018-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "80363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helena Hermoso Quezon, RN
• Ervette Quick, LVN
• Quickdoc, PA
• Donald Thomas Quigley, DDS
• William Ellis Quigley, PHARMD.
• Jose Quijada
• Ulrike Quijada
• Alfredo Quijano Jr.
• Michael James Quijano
• Kayla Renee Quilantan

• Professional Counselor in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2018; 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.