Nicole Quintal

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

21585 Issued in CA

Practice address

3454 Hillcrest Ave
Antioch, CA 94531-4263

Phone

(925) 777-6300

NPI assigned

Sep 7, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Specialty

Mental Health Counselor

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Alternative Family Services, Inc.

  • Community/Behavioral Health Agency
  • Pleasanton, CA
  • NPI 1619275435
  NPD (past)
• Alternative Family Services, Inc.

  • Community/Behavioral Health Agency
  • Pleasanton, CA
  • NPI 1730390162
  NPD (past)
• Valley Recovery Resources

  • Substance Abuse Rehabilitation Facility
  • Modesto, CA
  • NPI 1104372176
  NPD (past)

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

{
    "created_epoch": "1630972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1992474647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "758 ANTIGUA TER",
            "city": "MOUNTAIN HOUSE",
            "state": "CA",
            "postal_code": "953911259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3454 HILLCREST AVE",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945314263",
            "telephone_number": "925-777-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINTAL",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-07",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "12062",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": "12062",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "21585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clifford Quan, MD
• Queen Adu-Poku Licensed Clinical Social Worker PC
• John Anthony Quesada, DC
• Maria Luisa Quesada
• Kathy Lee Quinlan, IMF
• Ruth Quintanilla
• Emily Michelle Quintero
• William Lumba Quismorio, M.D.
• R. L. Keller DDS & Daniel F. Burk DDS
• R.E.a.C.H. Project

• Professional Counselor in Antioch, CA
• Providers in Antioch, CA by specialty
• Professional Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.