Active NPI
Kristen Conover Quinn, LPC
- Professional Counselor
- Salt Lake City, UT
National Provider Identifier
1326194184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 47396546004
- Practice address
- 50 N. Medical Dr.
Dept of Social Work
Salt Lake City, UT 84132 - Phone
- (801) 585-2847
- Fax
- (801) 585-2818
- NPI assigned
- Jan 26, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 47396546004 | UT | Primary |
Addresses
Primary practice location
50 N. Medical Dr.
Dept of Social Work
Salt Lake City, UT 84132
Mailing address
50 N. Medical Dr.
Dept of Social Work
Salt Lake City, UT 84132
Phone (801) 585-2847
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
| License | State | Type | Specialty |
|---|---|---|---|
| 47396546004 | UT | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1326194184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 N. MEDICAL DR.",
"address_2": "DEPT OF SOCIAL WORK",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "84132",
"telephone_number": "801-585-2847",
"fax_number": "801-585-2818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 N. MEDICAL DR.",
"address_2": "DEPT OF SOCIAL WORK",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "84132",
"telephone_number": "801-585-2847",
"fax_number": "801-585-2818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUINN",
"first_name": "KRISTEN",
"middle_name": "CONOVER",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "UT",
"license": "47396546004",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.