Individual provider Active NPI

Yvonne Quintanilla, LPC

  • Professional Counselor
  • Edinburg, TX
National Provider Identifier
1073998712
Registry record updated Aug 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
70206 Issued in TX
Practice address
5420 S Jackson Rd
Edinburg, TX 78539-6672
Phone
(956) 631-9000
Fax
(956) 631-9013
NPI assigned
Jul 23, 2015
Last updated
Aug 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 17, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
School Counselor 101YS0200X 06/30/2017 TX
Professional Counselor 101YP2500X 70206 TX Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 28357 TX

Addresses

Primary practice location

5420 S Jackson Rd
Edinburg, TX 78539-6672

Mailing address

5420 S Jackson Rd
Edinburg, TX 78539-6672
Phone (956) 631-9000

Other practice location 1

1818 Summerfield Dr
Edinburg, TX 78539-6943
Phone (956) 537-1346

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
28357TXMDAddiction (Substance Use Disorder) Counselor
70206TXMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Counseling Center of South Texas, LLC PastSince Aug 28, 2021 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, 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": "1437609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629158400000",
    "number": "1073998712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5420 S JACKSON RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785396672",
            "telephone_number": "956-631-9000",
            "fax_number": "956-631-9013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5420 S JACKSON RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785396672",
            "telephone_number": "956-631-9000",
            "fax_number": "956-631-9013"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1818 Summerfield Dr",
            "address_purpose": "LOCATION",
            "city": "Edinburg",
            "state": "TX",
            "postal_code": "785396943",
            "country_code": "US",
            "telephone_number": "956-537-1346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUINTANILLA",
        "first_name": "YVONNE",
        "name_prefix": "Dr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-23",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "TX",
            "license": "06/30/2017",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "70206",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "28357",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; 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.