Gianella Estefania Quinones, MA
Individual provider Active NPI Case Manager/Care Coordinator · Leesville, LA
NPI 1811313232 · NPPES record last updated Mar 7, 2019
Key facts
- NPI
- 1811313232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 103 N 5TH St
Leesville, LA 71446 - Phone
- (337) 238-4350
- NPI assigned
- Mar 10, 2014
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 101YM0800X | WA | ||
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
103 N 5TH St
Leesville, LA 71446
Mailing address
2525 Youree Dr Ste 110
Shreveport, LA 71104-3600
Phone (318) 675-0804
Other practice location 1
9330 59th Ave SW
Lakewood, WA 98499-2858
Phone (253) 620-5015
Other practice location 2
2525 Youree Dr Ste 110
Shreveport, LA 71104
Phone (318) 675-0804
Other practice location 3
2525 Youree Dr Ste 110
Shreveport, LA 71104
Phone (318) 675-0804
NPI Registry JSON
{
"created_epoch": "1394409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551916800000",
"number": "1811313232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2525 YOUREE DR STE 110",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711043600",
"telephone_number": "318-675-0804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "103 N 5TH ST",
"city": "LEESVILLE",
"state": "LA",
"postal_code": "71446",
"telephone_number": "337-238-4350"
}
],
"practiceLocations": [
{
"address_1": "9330 59th Ave SW",
"address_purpose": "LOCATION",
"city": "Lakewood",
"state": "WA",
"postal_code": "984992858",
"country_code": "US",
"telephone_number": "253-620-5015",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2525 Youree Dr Ste 110",
"address_purpose": "LOCATION",
"city": "Shreveport",
"state": "LA",
"postal_code": "71104",
"country_code": "US",
"telephone_number": "318-675-0804",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2525 Youree Dr Ste 110",
"address_purpose": "LOCATION",
"city": "Shreveport",
"state": "LA",
"postal_code": "71104",
"country_code": "US",
"telephone_number": "318-675-0804",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "QUINONES",
"first_name": "GIANELLA",
"middle_name": "ESTEFANIA",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-10",
"last_updated": "2019-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.