Organization Active NPI

Katie Quinlan, LPC, LLC

  • Professional Counselor
  • Charlottesville, VA
National Provider Identifier
1528349925
Registry record updated Aug 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701004441 Issued in VA
Legal business name
KATIE QUINLAN, LPC, LLC
Practice address
125 Riverbend Dr
Suite 2
Charlottesville, VA 22911-8695
Phone
(434) 770-4256
Fax
(434) 961-2556
NPI assigned
Aug 30, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2011

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

Authorized official

Name
Katherine Quinlan, LPC
Title
Owner
Phone
(434) 770-4256

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 0701004441 VA Primary

Addresses

Primary practice location

125 Riverbend Dr
Suite 2
Charlottesville, VA 22911-8695

Mailing address

394 Grayrock Dr
Crozet, VA 22932-2866
Phone (434) 770-4256

Other identifiers 1

IdentifierTypeStateIssuer
1033362603MedicaidVA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1314662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314662400000",
    "number": "1528349925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "394 GRAYROCK DR",
            "city": "CROZET",
            "state": "VA",
            "postal_code": "229322866",
            "telephone_number": "434-770-4256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 RIVERBEND DR",
            "address_2": "SUITE 2",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229118695",
            "telephone_number": "434-770-4256",
            "fax_number": "434-961-2556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATIE QUINLAN, LPC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-30",
        "last_updated": "2011-08-30",
        "status": "A",
        "authorized_official_last_name": "QUINLAN",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "434-770-4256",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701004441",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033362603",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlottesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2011; 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.