Aracelly Quezada, MSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

SC61366280 Issued in WA

Practice address

300 E College Way Ste B
Mount Vernon, WA 98273-5429

Phone

(360) 391-5521

Fax

(360) 850-4406

NPI assigned

Sep 7, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Aldora Injury and Wellness PLLC

  • Family Nurse Practitioner
  • Edmonds, WA
  • NPI 1760008270
  NPD (past)

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

{
    "created_epoch": "1630972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666915200000",
    "number": "1235808957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E COLLEGE WAY STE B",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982735429",
            "telephone_number": "360-391-5521",
            "fax_number": "360-850-4406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E COLLEGE WAY STE B",
            "city": "MOUNT VERNON",
            "state": "WA",
            "postal_code": "982735429",
            "telephone_number": "360-391-5521",
            "fax_number": "360-850-4406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUEZADA",
        "first_name": "ARACELLY",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-07",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "SC61366280",
            "primary": true
        },
        {
            "code": "171R00000X",
            "taxonomy_group": "",
            "desc": "Interpreter",
            "state": "WA",
            "license": "MC5872",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL WORK",
            "identifier": "EWU",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Public Hospital District No 1, Skagit County
• Laurie Kay Pudlik, BA
• Hal Lynn Pullin, MA
• Rowena N. Pusateri, M.D.
• Donna C. Queyquep, MD
• R. Charlie and Ute J Collins DDS, PLLC
• Susan Elizabeth Radkins, MA, LMHC
• Ellen M Rak, MD
• Raman K Patel, DDS, PLLC
• Mary T Ramsbottom, MD

• Mental Health Counselor in Mount Vernon, WA
• Providers in Mount Vernon, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; 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.