Max Ah Quin, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

5847195-6004 Issued in UT

Legal business name

MAX AH QUIN, LLC

Practice address

3507 N University Ave
Building 6, Suite 350
Provo, UT 84604-4478

Phone

(801) 830-2889

NPI assigned

Nov 11, 2015

Organization subpart

No

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

Authorized official

Name

Max Ah Quin, C.M.H.C.NPI 1972976082

Title

Manager

Phone

(801) 830-2889

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Max Ah Quin, C.M.H.C.

  • Mental Health Counselor
  • Provo, UT
  • NPI 1972976082
  NPD (past) Authorized official

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

{
    "created_epoch": "1447200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447200000000",
    "number": "1811360936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 W 630 S",
            "city": "OREM",
            "state": "UT",
            "postal_code": "840586131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3507 N UNIVERSITY AVE",
            "address_2": "BUILDING 6, SUITE 350",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846044478",
            "telephone_number": "801-830-2889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAX AH QUIN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-11",
        "last_updated": "2015-11-11",
        "status": "A",
        "authorized_official_last_name": "AH QUIN",
        "authorized_official_first_name": "MAX",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "801-830-2889",
        "authorized_official_credential": "C.M.H.C."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "5847195-6004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Provo, UT
• Providers in Provo, UT by specialty
• Mental Health Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2015; 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.