New Spark Counseling

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

NEW SPARK COUNSELING

Practice address

355 Palm Blvd
Brownsville, TX 78520-5431

Phone

(956) 455-7811

NPI assigned

Oct 29, 2021

Organization subpart

No

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

Authorized official

Name

Michael Justin Quintana, LMFTNPI 1730843285

Title

Lead Clinician/Practice Owner

Phone

(956) 410-2802

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

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

• Michael Justin Quintana, LMFT

  • Marriage & Family Therapist
  • Brownsville, TX
  • NPI 1730843285
  Medicare reassignment NPD Authorized official
• Melissa Diaz, LPC-A

  • Mental Health Counselor
  • Brownsville, TX
  • NPI 1952146003
  NPD

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

{
    "created_epoch": "1635465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727654400000",
    "number": "1326702879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 PALM BLVD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785205431",
            "telephone_number": "956-410-2802",
            "fax_number": "866-892-0888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 PALM BLVD",
            "city": "BROWNSVILLE",
            "state": "TX",
            "postal_code": "785205431",
            "telephone_number": "956-455-7811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW SPARK COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-29",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A",
        "authorized_official_last_name": "QUINTANA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JUSTIN",
        "authorized_official_title_or_position": "LEAD CLINICIAN/PRACTICE OWNER",
        "authorized_official_telephone_number": "956-410-2802",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Brownsville, TX
• Providers in Brownsville, TX by specialty
• Marriage & Family Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.