Individual provider Active NPI

Jenine Raquel Quinones, MA

  • Marriage & Family Therapist
  • San Rafael, CA
National Provider Identifier
1487710026
Registry record updated Jan 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
131352 Issued in CA
Practice address
1466 Lincoln Ave
San Rafael, CA 94901-2021
Phone
(415) 526-8024
NPI assigned
Dec 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Marriage & Family Therapist 106H00000X 131352 CA Primary

Addresses

Primary practice location

1466 Lincoln Ave
San Rafael, CA 94901-2021

Mailing address

405 Corrillo Dr
San Rafael, CA 94903-3910
Phone (415) 299-2581

Other practice location 1

1480 Lincoln Ave
San Rafael, CA 94901-2084
Phone (415) 456-7724

Other practice location 2

900 5th Ave Ste 150
San Rafael, CA 94901-2928
Phone (415) 457-6966

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
131352CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Marin Treatment Center CurrentSince Jul 21, 2024 Accepting new patients
The Child Therapy Institute of Marin Past Accepting new patients

Locations

1466 Lincoln Ave
San Rafael, CA 94901
Phone (415) 457-3755

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736899200000",
    "number": "1487710026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 CORRILLO DR",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949033910",
            "telephone_number": "415-299-2581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1466 LINCOLN AVE",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949012021",
            "telephone_number": "415-526-8024"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1480 Lincoln Ave",
            "address_purpose": "LOCATION",
            "city": "San Rafael",
            "state": "CA",
            "postal_code": "949012084",
            "country_code": "US",
            "telephone_number": "415-456-7724",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 5th Ave Ste 150",
            "address_purpose": "LOCATION",
            "city": "San Rafael",
            "state": "CA",
            "postal_code": "949012928",
            "country_code": "US",
            "telephone_number": "415-457-6966",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUINONES",
        "first_name": "JENINE",
        "middle_name": "RAQUEL",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-28",
        "last_updated": "2025-01-15",
        "certification_date": "2025-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "131352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Rafael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2025; 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.