Individual provider Active NPI

Samuel Frank Quinn

  • Counselor
  • Overland Park, KS
National Provider Identifier
1780446310
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
04144 Issued in KS
Practice address
5750 W 95TH St Ste 220
Overland Park, KS 66207-2969
Phone
(913) 575-6005
NPI assigned
Jan 29, 2024
Last updated
Jan 29, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 04144 KS Primary

Addresses

Primary practice location

5750 W 95TH St Ste 220
Overland Park, KS 66207-2969

Mailing address

5750 W 95TH St Ste 220
Overland Park, KS 66207-2969

Other practice location 1

12760 W 87th Street Pkwy Ste 108
Lenexa, KS 66215-2878
Phone (913) 575-6005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
04144KSMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1706486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1780446310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5750 W 95TH ST STE 220",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662072969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5750 W 95TH ST STE 220",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662072969",
            "telephone_number": "913-575-6005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12760 W 87th Street Pkwy Ste 108",
            "address_purpose": "LOCATION",
            "city": "Lenexa",
            "state": "KS",
            "postal_code": "662152878",
            "country_code": "US",
            "telephone_number": "913-575-6005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUINN",
        "first_name": "SAMUEL",
        "middle_name": "FRANK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-01-29",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "KS",
            "license": "04144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; 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.