Individual provider Active NPI

Catherine Patricia Quinn, LPC

  • Mental Health Counselor
  • Tigard, OR
National Provider Identifier
1811280860
Registry record updated May 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C2520 Issued in OR
Practice address
11895 SW Greenburg Rd
Tigard, OR 97223-6450
Phone
(503) 726-3738
Fax
(503) 726-3739
NPI assigned
May 24, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2011

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 C2520 OR Primary

Addresses

Primary practice location

11895 SW Greenburg Rd
Tigard, OR 97223-6450

Mailing address

10313 SW 69TH Ave
Tigard, OR 97223-9103
Phone (503) 726-3738

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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

Enrollment IDStateProvider typePAC IDDetails
I20240530001974 WA Practitioner - Mental Health Counselor 7719329168 Practice locations: Mercer Island, WA

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2448 76TH Ave SE
Suite 201
Mercer Island, WA 98040-2744
Phone (206) 618-3662

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C2520ORMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1306195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306195200000",
    "number": "1811280860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10313 SW 69TH AVE",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972239103",
            "telephone_number": "503-726-3738",
            "fax_number": "503-726-3739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11895 SW GREENBURG RD",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972236450",
            "telephone_number": "503-726-3738",
            "fax_number": "503-726-3739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINN",
        "first_name": "CATHERINE",
        "middle_name": "PATRICIA",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-24",
        "last_updated": "2011-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C2520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tigard, OR

Sources for this page

Verify at the official NPI Registry.