Individual provider Active NPI

Abad Senquiz Jr., CDCS

  • Addiction (Substance Use Disorder) Counselor
  • Anchorage, AK
National Provider Identifier
1275211930
Registry record updated Jul 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
1460 Issued in AK
Practice address
360 W Benson Blvd Ste 210
Anchorage, AK 99503-3953
Phone
(907) 565-1200
NPI assigned
Jul 11, 2023
Last updated
Jul 17, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1460 AK Primary
Mental Health Counselor 101YM0800X 1460 AK

Addresses

Primary practice location

360 W Benson Blvd Ste 210
Anchorage, AK 99503-3953

Mailing address

360 W Benson Blvd Ste 210
Anchorage, AK 99503-3953
Phone (907) 565-1200

Other practice location 1

360 W Benson Blvd Ste 210
Anchorage, AK 99503-3953
Phone (907) 565-1200 ext. 7120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1460AKMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Akeela Inc. PastSince Jul 16, 2023 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/akeela/r4/

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1689033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689552000000",
    "number": "1275211930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 W BENSON BLVD STE 210",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995033953",
            "telephone_number": "907-565-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 W BENSON BLVD STE 210",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995033953",
            "telephone_number": "907-565-1200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "360 W Benson Blvd Ste 210",
            "address_purpose": "LOCATION",
            "city": "Anchorage",
            "state": "AK",
            "postal_code": "995033953",
            "country_code": "US",
            "telephone_number": "907-565-1200 x7120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SENQUIZ",
        "first_name": "ABAD",
        "name_suffix": "Jr.",
        "credential": "CDCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-11",
        "last_updated": "2023-07-17",
        "certification_date": "2023-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AK",
            "license": "1460",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AK",
            "license": "1460",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.