Organization Active NPI

Qccounselor

  • Community/Behavioral Health Agency
  • Davenport, IA
National Provider Identifier
1689952467
Registry record updated Jul 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
00728 Issued in IA
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

Updated by the provider on Jul 28, 2011

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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

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.

Verify at the official NPI Registry.