Individual provider Active NPI

Donna Marie Giaquinto, LPCC

  • School Psychologist
  • Los Alamos, NM
National Provider Identifier
1154319788
Registry record updated Mar 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
School PsychologistTaxonomy code 103TS0200X
License
037148 Issued in NM
Practice address
190 Central Park SQ
Suite 105
Los Alamos, NM 87544-4001
Phone
(505) 662-1419
Fax
(505) 672-1739
NPI assigned
Oct 7, 2005
Last updated
Mar 3, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2011

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 3837 NM
Mental Health Counselor 101YM0800X 0049 NM
Psychologist 103T00000X 5251 NM
School Psychologist 103TS0200X 037148 NM Primary

Addresses

Primary practice location

190 Central Park SQ
Suite 105
Los Alamos, NM 87544-4001

Mailing address

190 Central Park SQ
Suite 105
Los Alamos, NM 87544-4001
Phone (505) 662-1419

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
3837NMMDAddiction (Substance Use Disorder) Counselor
037148NMMDSchool Psychologist
5251NMMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cottontree Center Past 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": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299110400000",
    "number": "1154319788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 CENTRAL PARK SQ",
            "address_2": "SUITE 105",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875444001",
            "telephone_number": "505-662-1419",
            "fax_number": "505-672-1739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 CENTRAL PARK SQ",
            "address_2": "SUITE 105",
            "city": "LOS ALAMOS",
            "state": "NM",
            "postal_code": "875444001",
            "telephone_number": "505-662-1419",
            "fax_number": "505-672-1739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIAQUINTO",
        "first_name": "DONNA",
        "middle_name": "MARIE",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-07",
        "last_updated": "2011-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NM",
            "license": "3837",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0049",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NM",
            "license": "5251",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "NM",
            "license": "037148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Alamos, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2011; 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.