Individual provider Active NPI

Mary Eileen McQueen, MPSS-HAPZSE

  • Counselor
  • Seattle, WA
National Provider Identifier
1033906110
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
MPSS-HAPZSE Issued in CA
Practice address
1742 13TH Ave S
Seattle, WA 98144-4112
Phone
(206) 771-1910
Fax
(206) 324-4952
NPI assigned
Apr 22, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X MPSS-HAPZSE CA Primary

Addresses

Primary practice location

1742 13TH Ave S
Seattle, WA 98144-4112

Mailing address

2212 S Jackson St
Seattle, WA 98144-2591
Phone (206) 322-2387

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

LicenseStateTypeSpecialty
MPSS-HAPZSECAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Community House Mental Health Center PastSince Apr 27, 2025 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": "1745280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1033906110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2212 S JACKSON ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981442591",
            "telephone_number": "206-322-2387",
            "fax_number": "206-324-4952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1742 13TH AVE S",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981444112",
            "telephone_number": "206-771-1910",
            "fax_number": "206-324-4952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCQUEEN",
        "first_name": "MARY",
        "middle_name": "EILEEN",
        "name_prefix": "Mrs.",
        "credential": "MPSS-HAPZSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-22",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "MPSS-HAPZSE",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; 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.