Active NPI
Katie Quinlan, LPC, LLC
- Professional Counselor
- Charlottesville, VA
National Provider Identifier
1528349925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701004441
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033362603 | Medicaid | VA |
National Provider Directory
National Provider DirectoryNPI 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.