Organization Active NPI

Kuadra Consulting LLC

  • Mental Health Counselor
  • San Antonio, TX
National Provider Identifier
1639588676
Registry record updated Aug 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
67102 Issued in TX
Legal business name
KUADRA CONSULTING LLC
Practice address
4100 E Piedras Dr
Suite 262
San Antonio, TX 78228-1401
Phone
(210) 314-7687
Fax
(210) 314-7494
NPI assigned
Aug 4, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2014

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

Authorized official

Name
Khadijat Quadri, LPCNPI 1831515477
Title
Ceo
Phone
(210) 314-7687

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 67102 TX Primary

Addresses

Primary practice location

4100 E Piedras Dr
Suite 262
San Antonio, TX 78228-1401

Mailing address

4100 E Piedras Dr
Suite 262
San Antonio, TX 78228-1401
Phone (210) 314-7687

Other identifiers 1

IdentifierTypeStateIssuer
332994801MedicaidTX

Other names 1

  • Kuadra Consulting and Counseling LLC Doing business as

National Provider Directory

National Provider Directory

Locations

4100 E Piedras Dr
Ste 262
San Antonio, TX 78228
Phone (210) 314-7687

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1407110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407456000000",
    "number": "1639588676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4100 E PIEDRAS DR",
            "address_2": "SUITE 262",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782281401",
            "telephone_number": "210-314-7687",
            "fax_number": "210-314-7494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4100 E PIEDRAS DR",
            "address_2": "SUITE 262",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782281401",
            "telephone_number": "210-314-7687",
            "fax_number": "210-314-7494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUADRA CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-04",
        "last_updated": "2014-08-08",
        "status": "A",
        "authorized_official_last_name": "QUADRI",
        "authorized_official_first_name": "KHADIJAT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "210-314-7687",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "67102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "332994801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kuadra Consulting and Counseling LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2014; 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.