Frederick Douglas Quinn, LCPC, NCC, DAPA

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180-005700 Issued in IL

Practice address

540 W. Frontage Road
Suite 2115
Northfield, IL 60093-1291

Phone

(847) 337-7846

NPI assigned

Sep 12, 2008

Last updated

May 27, 2011By the provider in NPPES

Sex

Male

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 2

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

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  Professional

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  • NPI 1245845932

  IL, Professional

  Medicare reassignment NPD

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

{
    "created_epoch": "1221177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306454400000",
    "number": "1760631808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 W FRONTAGE RD",
            "address_2": "SUITE 2115",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600931250",
            "telephone_number": "847-337-7846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 W. FRONTAGE ROAD",
            "address_2": "SUITE 2115",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600931291",
            "telephone_number": "847-337-7846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINN",
        "first_name": "FREDERICK",
        "middle_name": "DOUGLAS",
        "name_prefix": "Mr.",
        "credential": "LCPC, NCC, DAPA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-12",
        "last_updated": "2011-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180-005700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED PROFESSIONAL SERVICE CORP.",
            "identifier": "060-008928",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF FIN AND PRO. REGULATION",
            "identifier": "180-005700",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Molly Prout
• Providence Farm
• Letizia Puchta
• Sunil Simon Pullukat, D.C.
• Amber Qadri
• Lacey Rabbe, COTA/L
• Rachel Dubrow LCSW PLLC
• Patricia Raczka
• Taleen Rantis
• Sarah L Rassey

• Professional Counselor in Northfield, IL
• Providers in Northfield, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.