Active NPI
A Quarter Blue
- Mental Health Counselor
- Orange, CA
National Provider Identifier
1174410872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- A QUARTER BLUE
- Practice address
- 172 N Tustin St Ste 308
Orange, CA 92867-7780 - Phone
- (714) 932-0845
- Fax
- (657) 366-5177
- NPI assigned
- Jun 23, 2025
- Last updated
- Jun 23, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Martha Aileen Wade, MA
- Title
- Executive Director
- Phone
- (714) 932-0845
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | Primary |
Addresses
Primary practice location
172 N Tustin St Ste 308
Orange, CA 92867-7780
Mailing address
172 N Tustin St Ste 308
Orange, CA 92867-7780
Phone (714) 932-0845
Other names 1
- AQB Trauma Recovery Center
National Provider Directory
National Provider DirectoryLocations
172 N Tustin St
Ste 308
Orange, CA 92867
Phone (714) 932-0845
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Marriage & Family Therapist
- Orange, CA
- NPI 1386997401
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750636800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1750636800000",
"number": "1174410872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "172 N TUSTIN ST STE 308",
"city": "ORANGE",
"state": "CA",
"postal_code": "928677780",
"telephone_number": "714-932-0845",
"fax_number": "657-366-5177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "172 N TUSTIN ST STE 308",
"city": "ORANGE",
"state": "CA",
"postal_code": "928677780",
"telephone_number": "714-932-0845",
"fax_number": "657-366-5177"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "A QUARTER BLUE",
"organizational_subpart": "NO",
"enumeration_date": "2025-06-23",
"last_updated": "2025-06-23",
"certification_date": "2025-06-23",
"status": "A",
"authorized_official_last_name": "WADE",
"authorized_official_first_name": "MARTHA",
"authorized_official_middle_name": "AILEEN",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "714-932-0845",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MA"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "AQB Trauma Recovery Center",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 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.