Active NPI
Qccounselor
- Community/Behavioral Health Agency
- Davenport, IA
National Provider Identifier
1689952467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 00728
- Legal business name
- QCCOUNSELOR
- Practice address
- 2028 E 38TH St
Suite 3
Davenport, IA 52807-1168 - Phone
- (563) 639-4359
- NPI assigned
- Jul 28, 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
- Mr. Rick Michael Martenson, MS ED
- Title
- Therapist/Owner
- Phone
- (563) 639-4359
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 00728 | IA | Primary |
Addresses
Primary practice location
2028 E 38TH St
Suite 3
Davenport, IA 52807-1168
Mailing address
2028 E 38TH St
Suite 3
Davenport, IA 52807-1168
Phone (563) 639-4359
National Provider Directory
National Provider DirectoryLocations
2028 E 38th St
Ste 3
Davenport, IA 52807
Phone (563) 424-2016
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Davenport, IA
- NPI 1801806260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311811200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1311811200000",
"number": "1689952467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2028 E 38TH ST",
"address_2": "SUITE 3",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528071168",
"telephone_number": "563-639-4359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2028 E 38TH ST",
"address_2": "SUITE 3",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528071168",
"telephone_number": "563-639-4359"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QCCOUNSELOR",
"organizational_subpart": "NO",
"enumeration_date": "2011-07-28",
"last_updated": "2011-07-28",
"status": "A",
"authorized_official_last_name": "MARTENSON",
"authorized_official_first_name": "RICK",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "THERAPIST/OWNER",
"authorized_official_telephone_number": "563-639-4359",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MS ED"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "IA",
"license": "00728",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Davenport, IA
- Michael Leonard Puthoff, PT
- QC Counselor PLC
- QC Doula Connect
- QC Family Dentistry
- QC Family Eye Care PLLC
- Quad Cities Audiology Consultants, P.C.
- Quad Cities Citizens With Autism Rehabilitation Enterprise
- Quad Cities Family Foot and Ankle Specialists
- Quad Cities Health & Wellness, LLC
- Quad Cities Infectious Diseases, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.