Organization Active NPI

Velasco Quintero Psychological Services Inc

  • Mental Health Counselor
  • Miami, FL
National Provider Identifier
1245507391
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH9459 Issued in FL
Legal business name
VELASCO QUINTERO PSYCHOLOGICAL SERVICES INC
Practice address
10651 North Kendall Drive. Suite 120.
Miami, FL 33176-1573
Phone
(786) 963-9087
Fax
(786) 963-9093
NPI assigned
Nov 17, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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

Authorized official

Name
Dania Velasco-Quintero, LMHCNPI 1588821243
Title
Clinical Coordinator
Phone
(786) 402-8282

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X MH9459 FL Primary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X MH7327 FL

Addresses

Primary practice location

10651 North Kendall Drive. Suite 120.
Miami, FL 33176-1573

Mailing address

10651 North Kendall Drive. Suite 120.
Miami, FL 33176-1573
Phone (786) 963-9087

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220208002077 FL Part B Supplier - Clinic/Group Practice 1153714597 Receives reassigned benefits from 1 practitioner
Practice locations: Miami, FL

National Provider Directory

National Provider Directory
Tax ID family
Velasco Quintero Psychological Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

10621 SW 88th St
Ste 122
Miami, FL 33176
Phone (305) 279-2585

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1321488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706832000000",
    "number": "1245507391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10651 NORTH KENDALL DRIVE. SUITE 120.",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761573",
            "telephone_number": "786-963-9087",
            "fax_number": "786-963-9093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10651 NORTH KENDALL DRIVE. SUITE 120.",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761573",
            "telephone_number": "786-963-9087",
            "fax_number": "786-963-9093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VELASCO QUINTERO PSYCHOLOGICAL SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-17",
        "last_updated": "2024-02-02",
        "status": "A",
        "authorized_official_last_name": "VELASCO-QUINTERO",
        "authorized_official_first_name": "DANIA",
        "authorized_official_title_or_position": "CLINICAL COORDINATOR",
        "authorized_official_telephone_number": "786-402-8282",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH9459",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH7327",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.