Marie Quintana, LCPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

180009309 Issued in IL

Practice address

24821 W 135TH St
Plainfield, IL 60544-5413

Phone

(815) 254-7400

Fax

(815) 634-3188

NPI assigned

May 1, 2015

Last updated

May 1, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Mind Body Balance Counseling

  • Professional Counselor
  • Wheaton, IL
  • NPI 1578435707
  NPD Authorized official
• Mahyar Parvin PC

  dba Family Behavioral Health

  • Psychiatry Physician
  • Plainfield, IL
  • NPI 1134395825
  NPD (past)
• Quantum Counseling Inc.

  • Professional Counselor
  • Downers Grove, IL
  • NPI 1013294891
  NPD (past)

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

{
    "created_epoch": "1430438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430438400000",
    "number": "1720465412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4308 CHESAPEAKE DR",
            "address_2": "APT 3D",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605047100",
            "telephone_number": "815-254-7400",
            "fax_number": "815-634-3188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24821 W 135TH ST",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605445413",
            "telephone_number": "815-254-7400",
            "fax_number": "815-634-3188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINTANA",
        "first_name": "MARIE",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-01",
        "last_updated": "2015-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180009309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ILLINOIS LICENSE",
            "identifier": "180009309",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Othman Masoud Qahwash, D.D.S.
• Osama Mustafa Qaqi, M.D.
• Marcos Y Que, DDS
• Erica Ann Quensen-Diez, MA, LCPC, ADTR
• Quick Enterprises of Illinois, Inc. (Quick Vanns Ambulance and Medical Transport)
• Linda Raczak, LSW
• Sevia Raelson
• Daniela Raia
• Rapid Response Healthcare Inc
• Raton Colfax Medical Services PC

• Mental Health Counselor in Plainfield, IL
• Providers in Plainfield, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2015; 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.