Individual provider Active NPI

Kristy Quaka, LMHC

  • Mental Health Counselor
  • Delray Beach, FL
National Provider Identifier
1043757594
Registry record updated Jan 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH14576 Issued in FL
Practice address
4723 W Atlantic Ave Ste a-21
Delray Beach, FL 33445-3895
Phone
(561) 306-0146
NPI assigned
Jan 23, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH14576 FL Primary

Addresses

Primary practice location

4723 W Atlantic Ave Ste a-21
Delray Beach, FL 33445-3895

Mailing address

4181 NW 66TH PL
Coconut Creek, FL 33073-2019
Phone (561) 306-0146

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

LicenseStateTypeSpecialty
MH14576FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Opus Counseling and Consulting Mental Health 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": "1485129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485129600000",
    "number": "1043757594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4181 NW 66TH PL",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330732019",
            "telephone_number": "561-306-0146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4723 W ATLANTIC AVE STE A-21",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334453895",
            "telephone_number": "561-306-0146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUAKA",
        "first_name": "KRISTY",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-23",
        "last_updated": "2017-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH14576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; 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.