Active NPI
KQH Mental Health Counseling P.L.L.C.
- Mental Health Counselor
- Valley Stream, NY
National Provider Identifier
1083387930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- KQH MENTAL HEALTH COUNSELING P.L.L.C.
- Practice address
- 70 E Sunrise Hwy Ste 500
Valley Stream, NY 11581-1233 - Phone
- (516) 200-4672
- NPI assigned
- Jul 27, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Kezzia Quintyne-Hilaire, LMHC
- Title
- Owner/Psychotherapist
- Phone
- (347) 889-0805
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
70 E Sunrise Hwy Ste 500
Valley Stream, NY 11581-1233
Mailing address
1112 Rottkamp St
Valley Stream, NY 11580-2335
Phone (347) 889-0805
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275929234 | Other | NY | BEHAVIORAL HEALTH |
| 1952908261 | Other | NJ | BEHAVIORAL HEALTH |
Other names 1
- Quintyne mental health counseling
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Brooklyn, NY
- NPI 1275929234
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1627344000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1627344000000",
"number": "1083387930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1112 ROTTKAMP ST",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115802335",
"telephone_number": "347-889-0805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 E SUNRISE HWY STE 500",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115811233",
"telephone_number": "516-200-4672"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KQH MENTAL HEALTH COUNSELING P.L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-27",
"last_updated": "2021-07-27",
"certification_date": "2021-07-27",
"status": "A",
"authorized_official_last_name": "QUINTYNE-HILAIRE",
"authorized_official_first_name": "KEZZIA",
"authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
"authorized_official_telephone_number": "347-889-0805",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LMHC"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEHAVIORAL HEALTH",
"identifier": "1275929234",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEHAVIORAL HEALTH",
"identifier": "1952908261",
"state": "NJ"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Quintyne mental health counseling",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Valley Stream, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.