Individual provider Active NPI

Amanda Quintero

  • Mental Health Counselor
  • Atlanta, GA
National Provider Identifier
1205593407
Registry record updated Nov 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
223496 Issued in MA
Practice address
1708 Peachtree St NW Ste 425
Atlanta, GA 30309-7020
Phone
(404) 565-4385
NPI assigned
Nov 22, 2021
Last updated
Nov 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 223496 MA Primary

Addresses

Primary practice location

1708 Peachtree St NW Ste 425
Atlanta, GA 30309-7020

Mailing address

1822 Jefferson Dr # 1822
Atlanta, GA 30350-7127
Phone (714) 585-4464

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
223496MAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Aguirre Center for Inclusive Psychotherapy CurrentSince Nov 8, 2025 Accepting new patients

Locations

1708 Peachtree St NW
Ste 425
Atlanta, GA 30309
Phone (404) 565-4385

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": "1637539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637539200000",
    "number": "1205593407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1822 JEFFERSON DR # 1822",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303507127",
            "telephone_number": "714-585-4464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 PEACHTREE ST NW STE 425",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303097020",
            "telephone_number": "404-565-4385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINTERO",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-22",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "223496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.

Verify at the official NPI Registry.