Individual provider Active NPI

Marguerite Lois Quintana, LMHP

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1386816551
Registry record updated Mar 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1193 Issued in NE
Practice address
4105 N 94TH St
Omaha, NE 68134-3945
Phone
(402) 614-5168
NPI assigned
Mar 28, 2008
Last updated
Mar 28, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231228001137 NE Practitioner - Mental Health Counselor 5092165324 Reassigns benefits to 1 organization

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
Therapy Resource Associates IncGroup PAC ID 8729971049, 8 clinicians

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

LicenseStateTypeSpecialty
1193NEMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Resource Associates, Inc. Mental Health CurrentSince Jan 1, 2024 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

Verify at the official NPI Registry.