Jimmy Quach
Counselor, Mental Health in Minneapolis, MN. Individual provider (NPI-1).
NPI number1760106637
StatusActive
Last updated in NPPESJan 1, 2026
Details
- NPI
- 1760106637
- Entity type
- Individual (NPI-1)
- Name
- Jimmy Quach
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 3, 2022
- Certification date
- Jan 1, 2026
- Last updated
- Jan 1, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - MENTAL HEALTH COUNSELOR
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 4027 | MN | Yes |
Practice location
111 3rd Ave S Ste 100Minneapolis, MN 55401-2551
Phone 651-313-8080
Mailing address
111 3rd Ave S Ste 100Minneapolis, MN 55401-2551
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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