Jenevie Jonelle Quevedo

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

124501 Issued in CA

Practice address

5400 E Olympic Blvd FL 1
Commerce, CA 90022-5147

Phone

(323) 869-9255

NPI assigned

May 5, 2016

Reactivated

Apr 17, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Thrive Psychological Services IncGroup PAC ID 1658744974, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Thrive Psychological Services Inc

  dba Thrive Psychological Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ontario, CA
  • NPI 1528640026
  Medicare reassignment Care Compare group NPD
• Amanecer Community Counseling Service, a Non-Profit Corporation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Los Angeles, CA
  • NPI 1053449900
  NPD (past)

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

{
    "created_epoch": "1462406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622160000000",
    "number": "1235585647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 COLORADO BLVD STE 300",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900411744",
            "telephone_number": "323-543-2800",
            "fax_number": "323-978-1263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 E OLYMPIC BLVD FL 1",
            "city": "COMMERCE",
            "state": "CA",
            "postal_code": "900225147",
            "telephone_number": "323-869-9255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUEVEDO",
        "first_name": "JENEVIE",
        "middle_name": "JONELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-05",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "deactivation_date": "2017-11-14",
        "reactivation_date": "2018-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "124501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Procare Medical Supply Inc
• Public's Medical Supply & Equipment Inc
• Daniela Lizbet Pulido
• Lizette Yolanda Quechol
• Queensbridge Hospice, Inc.
• Sergio Quezada
• Cynthia Stephanie Quiles, MS
• Gabriela Quirarte
• Judith Quiroz
• Maria Quiroz

• Marriage & Family Therapist in Commerce, CA
• Providers in Commerce, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.