Individual provider Active NPI

Cesre Jean McQuaid, LPC LCMHC NCC

  • Professional Counselor
  • Haines, AK
National Provider Identifier
1275665168
Registry record updated May 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
143614 Issued in AK
Practice address
1 Theater Drive
Office B
Haines, AK 99827
Phone
(907) 766-3600
NPI assigned
Mar 9, 2007
Last updated
May 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240412003160 AK Practitioner - Mental Health Counselor 8426496662 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
143614AKMDProfessional Counselor
6401008535MIMDProfessional Counselor
8532NCMDProfessional Counselor
14493NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
South East Alaska Professional Counseling Associates LLC Professional CurrentSince Jan 1, 2024 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.

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

Verify at the official NPI Registry.