Kay Quintero, LPC, LSPE

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0000000703 Issued in TN

Practice address

612 S Congress Blvd
Suite F
Smithville, TN 37166-2009

Phone

(615) 597-4673

Fax

(615) 597-4673

NPI assigned

Apr 3, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Haven of Hope of Dekalb County, Inc.

  • Mental Health Counselor
  • Smithville, TN
  • NPI 1932340288
  NPD (past) Authorized official

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307404800000",
    "number": "1184745127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 S CONGRESS BLVD",
            "address_2": "SUITE F",
            "city": "SMITHVILLE",
            "state": "TN",
            "postal_code": "371662009",
            "telephone_number": "615-597-4673",
            "fax_number": "615-597-4673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 S CONGRESS BLVD",
            "address_2": "SUITE F",
            "city": "SMITHVILLE",
            "state": "TN",
            "postal_code": "371662009",
            "telephone_number": "615-597-4673",
            "fax_number": "615-597-4673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINTERO",
        "first_name": "KAY",
        "credential": "LPC, LSPE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-03",
        "last_updated": "2011-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "0000000703",
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "TN",
            "license": "0000000703",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "0000000703",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4222377",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "1274688",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "26-4275807",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5441718",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TENN CARE SELECT",
            "identifier": "2500723",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Johnny Paul, DPH
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• Peggy Poag, PT
• Christopher Bailey Price, DC
• Mackenzie Kay Rehnberg
• Results-Ast JV, LLC
• Jack Randall Rhody, MD
• Kevin Ryan Rhody, MD
• Debra Kay Robinson

• Mental Health Counselor in Smithville, TN
• Providers in Smithville, TN by specialty
• Mental Health Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.