Active NPI
Kim M. Losquadro, M.S. M.A.
- Mental Health Counselor
- Fort Walton Beach, FL
National Provider Identifier
1073162608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LMHC16703
- 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, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| LMHC16703 | FL | MD | Mental 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.