NPIMap

Organization Active NPI

Quest Counseling and Consultation Center, LLC

  • Mental Health Counselor
  • Madison, WI
National Provider Identifier
1912499351
Registry record updated Jun 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
5616-125 Issued in WI
Legal business name
QUEST COUNSELING AND CONSULTATION CENTER, LLC
Practice address
740 Regent St Ste 103
Madison, WI 53715-2648
Phone
(847) 708-4192
NPI assigned
Jun 1, 2018
Last updated
Jun 1, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2018

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

Authorized official

Name
Ms. Sandra Derks, LPCNPI 1821162983
Title
Owner/Psychotherapist
Phone
(847) 708-4192

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 5616-125 WI Primary

Addresses

Primary practice location

740 Regent St Ste 103
Madison, WI 53715-2648

Mailing address

740 Regent St Ste 103
Madison, WI 53715-2648
Phone (847) 708-4192

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251212000542 WI Part B Supplier - Clinic/Group Practice 6103310560 Receives reassigned benefits from 1 practitioner
Practice locations: Madison, WI

National Provider Directory

National Provider Directory

Locations

700 Regent St
Ste 300
Madison, WI 53715
Phone (608) 224-9132

740 Regent St
Ste 103
Madison, WI 53715
Phone (847) 708-4192

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1527811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527811200000",
    "number": "1912499351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 REGENT ST STE 103",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537152648",
            "telephone_number": "847-708-4192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 REGENT ST STE 103",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537152648",
            "telephone_number": "847-708-4192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEST COUNSELING AND CONSULTATION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-01",
        "last_updated": "2018-06-01",
        "status": "A",
        "authorized_official_last_name": "DERKS",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "847-708-4192",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "5616-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.