Individual provider Active NPI

Maria Del C. Quinones, Perez, LMHC

  • Mental Health Counselor
  • Palm City, FL
National Provider Identifier
1679791149
Registry record updated Sep 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH7196 Issued in FL
Practice address
3991 SW Greewnwood Way
3-G
Palm City, FL 34990
Phone
(772) 634-1400
Fax
(772) 221-2433
NPI assigned
Apr 23, 2007
Last updated
Sep 18, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH 7196 FL
Mental Health Counselor 101YM0800X MH7196 FL Primary

Addresses

Primary practice location

3991 SW Greewnwood Way
3-G
Palm City, FL 34990

Mailing address

3991 SW Greewnwood Way Suite 3G
Palm City, FL 34990-4639
Phone (772) 634-1400

Other identifiers 3

IdentifierTypeStateIssuer
600248011OtherFLMAGELLAV
Z037UOtherFLBLUE CROSS BLUE SHIELD
000672700MedicaidFL

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

State licenses

LicenseStateTypeSpecialty
MH 7196FLMDMental Health Counselor
MH7196FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mental Health Consultants LLC Mental Health Past Accepting new patients
Mental Health Consultants of the Treasure Coast Mental Health Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347926400000",
    "number": "1679791149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3991 SW GREEWNWOOD WAY SUITE 3G",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349904639",
            "telephone_number": "772-634-1400",
            "fax_number": "772-221-2433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3991 SW GREEWNWOOD WAY",
            "address_2": "3-G",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "34990",
            "telephone_number": "772-634-1400",
            "fax_number": "772-221-2433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINONES, PEREZ",
        "first_name": "MARIA",
        "middle_name": "DEL C.",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2012-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 7196",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH7196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAV",
            "identifier": "600248011",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "Z037U",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000672700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; 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.