Individual provider Active NPI

Suzanne Marie Quenette, LPC, LMFT

  • Professional Counselor
  • Round Rock, TX
National Provider Identifier
1407963259
Registry record updated Apr 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC 10153 Issued in TX
Practice address
600 Round Rock West Dr
Suite 606
Round Rock, TX 78681-5005
Phone
(512) 341-3412
NPI assigned
Aug 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC 10153 TX Primary
Marriage & Family Therapist 106H00000X LMFT 1870 TX

Addresses

Primary practice location

600 Round Rock West Dr
Suite 606
Round Rock, TX 78681-5005

Mailing address

600 Round Rock West Dr
Suite 606
Round Rock, TX 78681-5007
Phone (512) 341-3412

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPC 10153TXMDProfessional Counselor
LMFT 1870TXMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271116800000",
    "number": "1407963259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 ROUND ROCK WEST DR",
            "address_2": "SUITE 606",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786815007",
            "telephone_number": "512-341-3412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 ROUND ROCK WEST DR",
            "address_2": "SUITE 606",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786815005",
            "telephone_number": "512-341-3412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUENETTE",
        "first_name": "SUZANNE",
        "middle_name": "MARIE",
        "credential": "LPC, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-25",
        "last_updated": "2010-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "LPC 10153",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "LMFT 1870",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.