Tasha Quinn, M.ED., LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180016289 Issued in IL

Practice address

6843 Stanley Ave
Berwyn, IL 60402-5292

Phone

(708) 613-7912

NPI assigned

May 27, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

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 and National Provider Directory roles.

• Self-Connection Therapy and Wellness, PLLC

  • Professional Counselor
  • Chicago, IL
  • NPI 1609682715
  NPD Authorized official
• In Motion Counseling

  • Clinical Social Worker
  • Berwyn, IL
  • NPI 1497375513
  NPD

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

{
    "created_epoch": "1653609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1356080436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4015 N MILWAUKEE AVE UNIT 310",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606413866",
            "telephone_number": "773-885-1224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6843 STANLEY AVE",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604025292",
            "telephone_number": "708-613-7912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINN",
        "first_name": "TASHA",
        "credential": "M.ED., LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-27",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180016289",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "178011091",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Pugh
• Pulmonary and Critical Care Physicians PC
• Aditi Puri, MD
• Kimberly Pyle, MD
• Xiaoying Qiao, MD
• Lizette Herrera Quinones, OTR/L
• Mohammed Qureshi, M.D.
• Tuka Rachid
• Bruce Rachum, D.C.
• Rada Counseling PLLC

• Mental Health Counselor in Berwyn, IL
• Providers in Berwyn, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; 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.