Individual provider Active NPI

Quynh H. Lee, LPC

  • Professional Counselor
  • Fredericksburg, TX
National Provider Identifier
1063047025
Registry record updated Mar 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
78513 Issued in TX
Practice address
140 Industrial Loop Ste 200
Fredericksburg, TX 78624-5458
Phone
(830) 997-8023
NPI assigned
Mar 10, 2020
Last updated
Mar 10, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 78513 TX
Professional Counselor 101YP2500X 78513 TX Primary

Addresses

Primary practice location

140 Industrial Loop Ste 200
Fredericksburg, TX 78624-5458

Mailing address

140 Industrial Loop Ste 200
Fredericksburg, TX 78624-5458
Phone (830) 997-8023

Other identifiers 1

IdentifierTypeStateIssuer
78513MedicaidTX

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
78513TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hill Country Community MHMR Center CurrentSince Mar 22, 2020 Accepting new patients

Locations

140 Industrial Loop
Ste 200
Fredericksburg, TX 78624
Phone (830) 997-8023

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1583798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583798400000",
    "number": "1063047025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 INDUSTRIAL LOOP STE 200",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786245458",
            "telephone_number": "830-997-8023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 INDUSTRIAL LOOP STE 200",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786245458",
            "telephone_number": "830-997-8023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "QUYNH",
        "middle_name": "H.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-10",
        "last_updated": "2020-03-10",
        "certification_date": "2020-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "78513",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "78513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78513",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2020; 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.