Paige Lundquest
Individual provider Active NPI Mental Health Counselor · Olympic Valley, CA
NPI 1417418328 · NPPES record last updated Mar 26, 2019
Key facts
- NPI
- 1417418328
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 1522 Sandy Way
Olympic Valley, CA 96146-2854 - Phone
- (530) 613-1347
- NPI assigned
- Mar 26, 2019
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
1522 Sandy Way
Olympic Valley, CA 96146-2854
Mailing address
PO Box 2854
Olympic Valley, CA 96146-2854
Other providers in Olympic Valley, CA
All providers in Olympic Valley, CA · Mental Health Counselor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 26, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.