Active NPI
Dianne Quintana-Benavidez, L.P.C.
- Professional Counselor
- Pueblo, CO
National Provider Identifier
1871650549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2446
- Practice address
- 2701 California St
Pueblo, CO 81004-3869 - Phone
- (719) 251-4136
- Fax
- (877) 345-3501
- NPI assigned
- Jan 2, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2446 | CO | Primary |
Addresses
Primary practice location
2701 California St
Pueblo, CO 81004-3869
Mailing address
1 Kalisa Way Ste 101
Paramus, NJ 07652-3508
Phone (888) 948-6789
Other practice location 1
924 Indiana Ave
Pueblo, CO 81004-3747
Phone (719) 564-9039
Other names 1
- Dianne Quintana-Benavidez
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2446 | CO | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associates for Psychotherapy and Education, PC | Past | Accepting new patients |
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.
-
- Group Psychotherapy Psychologist
- Pueblo, CO
- NPI 1356366132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717718400000",
"number": "1871650549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 KALISA WAY STE 101",
"city": "PARAMUS",
"state": "NJ",
"postal_code": "076523508",
"telephone_number": "888-948-6789",
"fax_number": "877-345-3501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2701 CALIFORNIA ST",
"city": "PUEBLO",
"state": "CO",
"postal_code": "810043869",
"telephone_number": "719-251-4136",
"fax_number": "877-345-3501"
}
],
"practiceLocations": [
{
"address_1": "924 Indiana Ave",
"address_purpose": "LOCATION",
"city": "Pueblo",
"state": "CO",
"postal_code": "810043747",
"country_code": "US",
"telephone_number": "719-564-9039",
"fax_number": "719-561-8752",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "QUINTANA-BENAVIDEZ",
"first_name": "DIANNE",
"credential": "L.P.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-02",
"last_updated": "2024-06-07",
"certification_date": "2024-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CO",
"license": "2446",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DIANNE",
"last_name": "QUINTANA-BENAVIDEZ",
"credential": "L.P.C.",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Pueblo, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.