Mathew Dwight Quaschnick, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

636 Issued in MN

Practice address

1406 W Lake St
204
Minneapolis, MN 55408-2653

Phone

(952) 210-3266

NPI assigned

Jan 6, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1388966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400025600000",
    "number": "1982026258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 W LAKE ST",
            "address_2": "204",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082653",
            "telephone_number": "952-210-3266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 W LAKE ST",
            "address_2": "204",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554082653",
            "telephone_number": "952-210-3266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUASCHNICK",
        "first_name": "MATHEW",
        "middle_name": "DWIGHT",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-06",
        "last_updated": "2014-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "636",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "423652100",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin Quaranta, MD
• Amy Quarberg, RN
• Jerrod Darnell Quarles, M.D.
• Vali Jo Quarnstrom
• Janet Lynn Quarshie, DNP, RN, FNP-C
• Queen Health Consultants, LLC
• Susan K Quella, RN
• Katherine Anne Querna, PHD, LICSW
• Juan Querubin, DO
• Colleen Lynn Quesnell, WHNP-BC,ANP-BC

• Professional Counselor in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Professional Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2014; 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.