Heather Lynn Irene Quintero, LMFT 132665

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT132665 Issued in CA

Practice address

601 Palm Ave
Lodi, CA 95240

Phone

(818) 206-0360

NPI assigned

May 16, 2017

Last updated

Mar 7, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Heather Lynn Irene Davalos Former name

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• San Joaquin Behavioral Health Services

  dba San Joaquin County Behavioral Health Services

  • Community/Behavioral Health Agency
  • Stockton, CA
  • NPI 1215028931

  Addiction (Substance Use Disorder)

  Medicare reassignment NPD
• County of San Joaquin

  dba San Joaquin County Clinic Manteca

  • Multi-Specialty Clinic/Center
  • Manteca, CA
  • NPI 1417407636
  NPD
• Environmental Alternatives

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Lodi, CA
  • NPI 1295355634
  NPD
• San Joaquin County Behavioral Health Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lodi, CA
  • NPI 1265647234
  NPD

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

{
    "created_epoch": "1494892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1275060683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 MAIN ST",
            "city": "QUINCY",
            "state": "CA",
            "postal_code": "95971",
            "telephone_number": "530-283-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 PALM AVE",
            "city": "LODI",
            "state": "CA",
            "postal_code": "95240",
            "telephone_number": "818-206-0360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINTERO",
        "first_name": "HEATHER",
        "middle_name": "LYNN IRENE",
        "name_prefix": "Ms.",
        "credential": "LMFT 132665",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-16",
        "last_updated": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT132665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "DAVALOS",
            "middle_name": "LYNN IRENE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amber Leigh Pujanauski, PA-C
• Ashok Kumar Punati
• Michael Lee Bain Purviance, MD
• Samina Qamar, M.D.
• Robert J Quaschnick, D.D.S.
• Olha K Quintero
• Alvaro Quiroz, P.T.A.
• Quyen B Nguyen DDS Inc (Bella Terra Dental)
• Kevin Earl Rabey, M.D.
• Nathaniel Rabang Rafanan, RN

• Marriage & Family Therapist in Lodi, CA
• Providers in Lodi, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.