Individual provider Active NPI

Teah Marie Quinones, APC008993

  • Mental Health Counselor
  • Villa Rica, GA
National Provider Identifier
1801657382
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
APC008993 Issued in GA
Practice address
514 W Bankhead Hwy Ste 100
Villa Rica, GA 30180-1737
Phone
(678) 941-3868
NPI assigned
Jan 22, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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 APC008993 GA Primary

Addresses

Primary practice location

514 W Bankhead Hwy Ste 100
Villa Rica, GA 30180-1737

Mailing address

514 W Bankhead Hwy Ste 100
Villa Rica, GA 30180-1737
Phone (678) 941-3868

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
APC008993GAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Inmind LLC CurrentSince Jan 28, 2024 Accepting new patients

Locations

514 W Bankhead Hwy
Ste 100
Villa Rica, GA 30180
Phone (678) 941-3868

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1705881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1801657382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 W BANKHEAD HWY STE 100",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301801737",
            "telephone_number": "678-941-3868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 W BANKHEAD HWY STE 100",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301801737",
            "telephone_number": "678-941-3868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINONES",
        "first_name": "TEAH",
        "middle_name": "MARIE",
        "credential": "APC008993",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-22",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "APC008993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Villa Rica, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.