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)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 7, 2019.

{
    "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": []
}

Other providers in Leesville, LA

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Sources for this page

Verify at the official NPI Registry.