Active NPI
Charles L Quinn
- Professional Counselor
- Waynesville, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2019009356
- Practice address
- Hope Connections LLC 704 Historic Rte. 66W Suite 101
Waynesville, MO 65583 - Phone
- (573) 452-1311
- NPI assigned
- Apr 9, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2019009356 | MO | Primary |
| Counselor | 101Y00000X | 2019009356 | MO |
Addresses
Primary practice location
Hope Connections LLC 704 Historic Rte. 66W Suite 101
Waynesville, MO 65583
Mailing address
Hope Connections LLC 704 Historic Rte. 66W Suite 101
Waynesville, MO 65583
Phone (573) 452-1311
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
704 Historic 66
Suite 101
Waynesville, MO 65583-8322
Phone (573) 433-4846
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hope Connections, LLC | Professional | Current | Accepting new patients |
Locations
103 W 10th St
Rolla, MO 65401
Phone (573) 433-4846
704 Route 66 W
Ste 101
Waynesville, MO 65583
Phone (573) 433-4846
Organizations & group practices 1
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.
-
- Professional Counselor
- Waynesville, MO
- NPI 1548686066
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642032000000",
"number": "1619430519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HOPE CONNECTIONS LLC 704 HISTORIC RTE. 66W SUITE 101",
"city": "WAYNESVILLE",
"state": "MO",
"postal_code": "65583",
"telephone_number": "573-452-1311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "HOPE CONNECTIONS LLC 704 HISTORIC RTE. 66W SUITE 101",
"city": "WAYNESVILLE",
"state": "MO",
"postal_code": "65583",
"telephone_number": "573-452-1311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUINN",
"first_name": "CHARLES",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-09",
"last_updated": "2022-01-13",
"certification_date": "2022-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MO",
"license": "2019009356",
"primary": true
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MO",
"license": "2019009356",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Waynesville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.