Organization Active NPI

A Quarter Blue

  • Mental Health Counselor
  • Orange, CA
National Provider Identifier
1174410872
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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)CodeLicenseStatePrimary
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 Other name

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.