Quintessential Counseling & Consultation

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Legal business name

QUINTESSENTIAL COUNSELING & CONSULTATION

Doing business as

Same As Above

Practice address

631 Strander Blvd Ste G
Tukwila, WA 98188-2963

Phone

(206) 900-2021

NPI assigned

Nov 5, 2018

Last updated

Nov 5, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Queenie Fitzgerald, PSY.D, LMHC

Title

Owner

Phone

(206) 250-6004

Specialties & licenses 1

Addresses

Other names 1

• SAME AS ABOVE Doing business as

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

{
    "created_epoch": "1541376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541376000000",
    "number": "1164990404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28639 225TH AVE SE",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "980385121",
            "telephone_number": "206-900-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 STRANDER BLVD STE G",
            "city": "TUKWILA",
            "state": "WA",
            "postal_code": "981882963",
            "telephone_number": "206-900-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUINTESSENTIAL COUNSELING & CONSULTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-05",
        "last_updated": "2018-11-05",
        "status": "A",
        "authorized_official_last_name": "FITZGERALD",
        "authorized_official_first_name": "QUEENIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "206-250-6004",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D, LMHC"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAME AS ABOVE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Counseling Psychologist in Tukwila, WA
• Providers in Tukwila, WA by specialty
• Counseling Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2018; 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.