Active NPI
Augusta L Quinn, PCC
- Professional Counselor
- Ottawa, OH
National Provider Identifier
1972828317
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- E.0700107
- Practice address
- 601 State Route 224
Ottawa, OH 45875-9239 - Phone
- (419) 538-6000
- Fax
- (419) 538-6220
- NPI assigned
- Mar 29, 2010
- 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 | E.0700107 | OH | Primary |
Addresses
Primary practice location
601 State Route 224
Ottawa, OH 45875-9239
Mailing address
601 State Route 224
P.O. Box 100
Ottawa, OH 45875-9239
Phone (419) 538-6000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E.0700107 | OH | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1269820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269820800000",
"number": "1972828317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 STATE ROUTE 224",
"address_2": "P.O. BOX 100",
"city": "OTTAWA",
"state": "OH",
"postal_code": "458759239",
"telephone_number": "419-538-6000",
"fax_number": "419-538-6220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "601 STATE ROUTE 224",
"city": "OTTAWA",
"state": "OH",
"postal_code": "458759239",
"telephone_number": "419-538-6000",
"fax_number": "419-538-6220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUINN",
"first_name": "AUGUSTA",
"middle_name": "L",
"name_prefix": "Miss",
"credential": "PCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-29",
"last_updated": "2010-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E.0700107",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ottawa, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.