Active NPI
Jazmin Quintero, LPCC
- Professional Counselor
- Riverside, CA
National Provider Identifier
1194078238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 12751
- Practice address
- 2280 Market St Ste 145
Riverside, CA 92501-2119 - Phone
- (888) 588-8995
- NPI assigned
- Oct 25, 2012
- Last updated
- Sep 28, 2023
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 12751 | CA | Primary |
Addresses
Primary practice location
2280 Market St Ste 145
Riverside, CA 92501-2119
Mailing address
PO Box 1214
Moreno Valley, CA 92556-1214
Phone (800) 273-8255
Other practice location 1
1000 G St Ste 125
Sacramento, CA 95814-0894
Phone (899) 588-8588
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12751 | CA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foresight Mental Health | 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.
-
- Counselor
- Sacramento, CA
- NPI 1902390537
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695859200000",
"number": "1194078238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1214",
"city": "MORENO VALLEY",
"state": "CA",
"postal_code": "925561214",
"telephone_number": "800-273-8255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2280 MARKET ST STE 145",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925012119",
"telephone_number": "888-588-8995"
}
],
"practiceLocations": [
{
"address_1": "1000 G St Ste 125",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958140894",
"country_code": "US",
"telephone_number": "899-588-8588",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "QUINTERO",
"first_name": "JAZMIN",
"credential": "LPCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-10-25",
"last_updated": "2023-09-28",
"certification_date": "2023-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "12751",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.