Active NPI
Marguerite Lois Quintana, LMHP
- Mental Health Counselor
- Omaha, NE
National Provider Identifier
1386816551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 1193
- Practice address
- 4105 N 94TH St
Omaha, NE 68134-3945 - Phone
- (402) 614-5168
- NPI assigned
- Mar 28, 2008
- Last updated
- Mar 28, 2008
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 1193 | NE | Primary |
Addresses
Primary practice location
4105 N 94TH St
Omaha, NE 68134-3945
Mailing address
4105 N 94TH St
Omaha, NE 68134-3945
Phone (402) 614-5168
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10824 Old Mill Rd
Suite 21
Omaha, NE 68154-2642
Phone (402) 330-6060
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1193 | NE | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy Resource Associates, Inc. | Mental Health | Current | Accepting new patients |
Locations
10824 Old Mill Rd
Ste 21
Omaha, NE 68154
Phone (402) 330-6060
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1206662400000",
"number": "1386816551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4105 N 94TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681343945",
"telephone_number": "402-614-5168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4105 N 94TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681343945",
"telephone_number": "402-614-5168"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUINTANA",
"first_name": "MARGUERITE",
"middle_name": "LOIS",
"name_prefix": "Ms.",
"credential": "LMHP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-28",
"last_updated": "2008-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "1193",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2008; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.