Individual provider Active NPI

Christina De Quesada, LPC

  • Professional Counselor
  • Richardson, TX
National Provider Identifier
1225260425
Registry record updated Nov 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
62244 Issued in TX
Practice address
1401 N Central Expy
Suite 105
Richardson, TX 75080-4669
Phone
(972) 639-6579
Fax
(214) 723-7702
NPI assigned
Aug 20, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 62244 TX Primary

Addresses

Primary practice location

1401 N Central Expy
Suite 105
Richardson, TX 75080-4669

Mailing address

1401 N Central Expy
Suite 105
Richardson, TX 75080-4669
Phone (972) 639-6579

Other identifiers 2

IdentifierTypeStateIssuer
2043242-01MedicaidTX
2043242-02MedicaidTX

Other names 1

  • Christina Hull Former name

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
62244TXMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1250726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383782400000",
    "number": "1225260425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 N CENTRAL EXPY",
            "address_2": "SUITE 105",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750804669",
            "telephone_number": "972-639-6579",
            "fax_number": "214-723-7702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 N CENTRAL EXPY",
            "address_2": "SUITE 105",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750804669",
            "telephone_number": "972-639-6579",
            "fax_number": "214-723-7702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE QUESADA",
        "first_name": "CHRISTINA",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-20",
        "last_updated": "2013-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "62244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2043242-01",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2043242-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTINA",
            "last_name": "HULL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2013; 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.