Individual provider Active NPI

Elizabeth Quiros, PLPC

  • Mental Health Counselor
  • Eureka, MO
National Provider Identifier
1699427187
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2020036324 Issued in MO
Practice address
60 Muir St
Eureka, MO 63025-1131
Phone
(314) 200-5766
NPI assigned
Jan 25, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2020036324 MO Primary

Addresses

Primary practice location

60 Muir St
Eureka, MO 63025-1131

Mailing address

60 Muir St
Eureka, MO 63025-1131
Phone (314) 200-5766

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 19, 2024 through Feb 19, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2020036324MOMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1643068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1699427187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 MUIR ST",
            "city": "EUREKA",
            "state": "MO",
            "postal_code": "630251131",
            "telephone_number": "314-200-5766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 MUIR ST",
            "city": "EUREKA",
            "state": "MO",
            "postal_code": "630251131",
            "telephone_number": "314-200-5766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUIROS",
        "first_name": "ELIZABETH",
        "credential": "PLPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-25",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MO",
            "license": "2020036324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eureka, MO

Sources for this page

Verify at the official NPI Registry.