NPIMap

Individual provider Active NPI

Quintin L Gustin, LPC

  • Addiction (Substance Use Disorder) Counselor
  • Baton Rouge, LA
National Provider Identifier
1205137064
Registry record updated Nov 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
4690 Issued in LA
Practice address
4615 Government St
Building 2
Baton Rouge, LA 70806-5820
Phone
(225) 925-1906
Fax
(225) 362-5356
NPI assigned
Nov 10, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 4690 LA Primary

Addresses

Primary practice location

4615 Government St
Building 2
Baton Rouge, LA 70806-5820

Mailing address

4615 Government St
Building 2
Baton Rouge, LA 70806-5820
Phone (225) 925-1906

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
4690LAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1289347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289347200000",
    "number": "1205137064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4615 GOVERNMENT ST",
            "address_2": "BUILDING 2",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708065820",
            "telephone_number": "225-925-1906",
            "fax_number": "225-362-5356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4615 GOVERNMENT ST",
            "address_2": "BUILDING 2",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708065820",
            "telephone_number": "225-925-1906",
            "fax_number": "225-362-5356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUSTIN",
        "first_name": "QUINTIN",
        "middle_name": "L",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-11-10",
        "last_updated": "2010-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "4690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2010; 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.