Active NPI
Cesre Jean McQuaid, LPC LCMHC NCC
- Professional Counselor
- Haines, AK
National Provider Identifier
1275665168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 143614
- Practice address
- 1 Theater Drive
Office B
Haines, AK 99827 - Phone
- (907) 766-3600
- NPI assigned
- Mar 9, 2007
- Last updated
- May 26, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 8532 | NC | |
| Professional Counselor | 101YP2500X | 14493 | NC | |
| Professional Counselor | 101YP2500X | 6401008535 | MI | |
| Professional Counselor | 101YP2500X | 143614 | AK | Primary |
Addresses
Primary practice location
1 Theater Drive
Office B
Haines, AK 99827
Mailing address
PO Box 1777
Haines, AK 99827-1777
Phone (907) 766-3600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
110 N Front St
Suite 5
Haines, AK 99827
Phone (907) 766-3600
PO Box
Suite 1777
Haines, AK 99827
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 143614 | AK | MD | Professional Counselor |
| 6401008535 | MI | MD | Professional Counselor |
| 8532 | NC | MD | Professional Counselor |
| 14493 | NC | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South East Alaska Professional Counseling Associates LLC | Professional | Current | Accepting new patients |
| Jackson County Psychological Services PA | Professional | Past | Accepting new patients |
| Jackson County Psychological Services | Professional | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Professional Counselor
- Haines, AK
- NPI 1447997929
-
- Adolescent and Children Mental Health Clinic/Center
- Sylva, NC
- NPI 1699088583
Professional
-
dba Haywood County Psychological Services
- Professional Counselor
- Sylva, NC
- NPI 1396802914
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653523200000",
"number": "1275665168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1777",
"city": "HAINES",
"state": "AK",
"postal_code": "998271777",
"telephone_number": "907-766-3600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 THEATER DRIVE",
"address_2": "OFFICE B",
"city": "HAINES",
"state": "AK",
"postal_code": "99827",
"telephone_number": "907-766-3600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCQUAID",
"first_name": "CESRE",
"middle_name": "JEAN",
"name_prefix": "Mrs.",
"credential": "LPC LCMHC NCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-09",
"last_updated": "2022-05-26",
"certification_date": "2022-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "8532",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "14493",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MI",
"license": "6401008535",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AK",
"license": "143614",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Haines, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; 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.