Individual provider Active NPI

Quinteisha Jenkins Hundley, LPC

  • Professional Counselor
  • San Antonio, TX
National Provider Identifier
1336622729
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
85667 Issued in TX
Practice address
4040 Broadway Ste 200
San Antonio, TX 78209-6300
Phone
(877) 504-8504
Fax
(855) 420-6402
NPI assigned
Sep 11, 2018
Last updated
May 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 7137 LA
Case Manager/Care Coordinator 171M00000X
Professional Counselor 101YP2500X 85667 TX Primary

Addresses

Primary practice location

4040 Broadway Ste 200
San Antonio, TX 78209-6300

Mailing address

4040 Broadway Ste 200
San Antonio, TX 78209-6300
Phone (877) 504-8504

Other practice location 1

1105 Hudson Ln
Monroe, LA 71201-6003
Phone (318) 362-6500

Other practice location 2

403 N 6th St
West Monroe, LA 71291-4120
Phone (318) 737-7201

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
85667TXMDProfessional Counselor
7137LAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1536624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652832000000",
    "number": "1336622729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4040 BROADWAY STE 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782096300",
            "telephone_number": "877-504-8504",
            "fax_number": "855-420-6402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 BROADWAY STE 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782096300",
            "telephone_number": "877-504-8504",
            "fax_number": "855-420-6402"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1105 Hudson Ln",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "LA",
            "postal_code": "712016003",
            "country_code": "US",
            "telephone_number": "318-362-6500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "403 N 6th St",
            "address_purpose": "LOCATION",
            "city": "West Monroe",
            "state": "LA",
            "postal_code": "712914120",
            "country_code": "US",
            "telephone_number": "318-737-7201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUNDLEY",
        "first_name": "QUINTEISHA",
        "middle_name": "JENKINS",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-11",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "7137",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "85667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; 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.