Individual provider Active NPI

Brenda Kaye Quinn, MA, LMFT

  • Marriage & Family Therapist
  • Minneapolis, MN
National Provider Identifier
1992046957
Registry record updated Jul 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
2666 Issued in MN
Practice address
4342 15TH Ave S
Minneapolis, MN 55407
Phone
(763) 227-8778
Fax
(651) 266-7850
NPI assigned
Mar 14, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 2666 MN Primary
Marriage & Family Therapist 106H00000X 319-228 WI

Addresses

Primary practice location

4342 15TH Ave S
Minneapolis, MN 55407

Mailing address

4342 15TH Ave S
Minneapolis, MN 55407
Phone (763) 227-8778

Other practice location 1

670 Robert St N
Saint Paul, MN 55101-2523
Phone (612) 425-9582

Other practice location 2

670 Robert St N
Saint Paul, MN 55101-2523
Phone (612) 425-9582

Other names 1

  • Miss Brenda Kaye Atkins Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240205000760 MN Practitioner - Marriage and Family Therapist 3577906841

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
319-228WIMDMarriage & Family Therapist
2666MNMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Quintessential Therapies, LLC Marriage & Family Therapist CurrentSince Jun 21, 2022 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.

NPI Registry JSON

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

{
    "created_epoch": "1363219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657756800000",
    "number": "1992046957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4342 15TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55407",
            "telephone_number": "763-227-8778",
            "fax_number": "651-266-7850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4342 15TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55407",
            "telephone_number": "763-227-8778",
            "fax_number": "651-266-7850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "670 Robert St N",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551012523",
            "country_code": "US",
            "telephone_number": "612-425-9582",
            "fax_number": "612-425-9582",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "670 Robert St N",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551012523",
            "country_code": "US",
            "telephone_number": "612-425-9582",
            "fax_number": "612-425-9582",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUINN",
        "first_name": "BRENDA",
        "middle_name": "KAYE",
        "credential": "MA, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-14",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "2666",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WI",
            "license": "319-228",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRENDA",
            "last_name": "ATKINS",
            "middle_name": "KAYE",
            "prefix": "MISS",
            "credential": "MA, LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.