Individual provider Active NPI

Kim M. Losquadro, M.S. M.A.

  • Mental Health Counselor
  • Fort Walton Beach, FL
National Provider Identifier
1073162608
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LMHC16703 Issued in FL
Practice address
107 Hughes St NE
Fort Walton Beach, FL 32548-4455
Phone
(850) 261-4963
Fax
(850) 409-4963
NPI assigned
Sep 6, 2019
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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 LMHC16703 FL Primary

Addresses

Primary practice location

107 Hughes St NE
Fort Walton Beach, FL 32548-4455

Mailing address

1961 Fontainebleau CT
Navarre, FL 32566-2995
Phone (850) 261-4963

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL kimlosquadrocounselor@gmail.com Health Information Exchange (HIE)

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMHC16703FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1567728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1073162608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1961 FONTAINEBLEAU CT",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325662995",
            "telephone_number": "850-261-4963",
            "fax_number": "850-409-4963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 HUGHES ST NE",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325484455",
            "telephone_number": "850-261-4963",
            "fax_number": "850-409-4963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOSQUADRO",
        "first_name": "KIM",
        "middle_name": "M.",
        "credential": "M.S.  M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-06",
        "last_updated": "2026-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "LMHC16703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "kimlosquadrocounselor@gmail.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "107 Hughes St NE",
            "city": "Fort Walton Beach",
            "state": "FL",
            "country_code": "US",
            "postal_code": "325484455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Walton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; 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.