Quest Counseling and Consultation Center, LLC

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

Organization subpart

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Locations

Practitioners 19

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

• Sandra Derks, LCPC

  • Professional Counselor
  • Buffalo Grove, IL
  • NPI 1821162983

  WI

  Medicare reassignment NPD Authorized official
• Christina Dohm, LPC, CSAC

  • Professional Counselor
  • Madison, WI
  • NPI 1114188836
  NPD
• Emily Jean Gerber, MS, LPC

  • Professional Counselor
  • Madison, WI
  • NPI 1942849625
  NPD
• Robyn K Groth, LPC

  • Professional Counselor
  • Madison, WI
  • NPI 1144855859
  NPD
• Kjerstin Susan Nelson Gurda, MS, LCSW

  • Clinical Social Worker
  • Madison, WI
  • NPI 1699320259
  NPD
• Dustin Lewis, LPC-IT

  • Professional Counselor
  • Madison, WI
  • NPI 1629812953
  NPD
• Callie Montanez-Desch, MFT-IT

  • Marriage & Family Therapist
  • Madison, WI
  • NPI 1669369286
  NPD
• Jennifer Reckner, LPC

  • Professional Counselor
  • Madison, WI
  • NPI 1942715370
  NPD
• Alexandra Jean Schrank, MFT-IT

  • Marriage & Family Therapist
  • Madison, WI
  • NPI 1629642053
  NPD
• Sophia Svetnicka, MFT-IT

  • Marriage & Family Therapist
  • Madison, WI
  • NPI 1528800257
  NPD
• Travis Wright, ED.D.

  • Professional Counselor
  • Madison, WI
  • NPI 1538479795

  Mental Health

  NPD
• Stacy Cohen, MACCC SLP

  • Mental Health Counselor
  • Madison, WI
  • NPI 1407811185
  NPD (past)

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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101YP2500X",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Abigail Marie Quamme, PTA
• Erin N. Quattromani, M.D.
• Shane Charles, Falbe Quella
• Misty Lynn Quick, RN
• Erika Lynn Quincey
• Sarah Rachel Quinlan
• Erin Bree Quinn-Roberts
• Caroline S. Quinn, PHARMD

• Mental Health Counselor in Madison, WI
• Providers in Madison, WI by specialty
• Mental Health Counselor in Wisconsin

• 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.