Active NPI
Eusebio Quezada, LIAC
- Addiction (Substance Use Disorder) Counselor
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- LIAC-11384
- Practice address
- 15650 N Black Canyon Hwy Ste B121
Phoenix, AZ 85053-4064 - Phone
- (480) 649-3352
- Fax
- (480) 649-3358
- NPI assigned
- Feb 23, 2026
- Last updated
- Feb 23, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LIAC-11384 | AZ | Primary |
Addresses
Primary practice location
15650 N Black Canyon Hwy Ste B121
Phoenix, AZ 85053-4064
Mailing address
8002 W Roma Ave
Phoenix, AZ 85033-2207
Other practice location 1
3336 N 32nd St Ste 120
Phoenix, AZ 85018-6241
Phone (480) 649-3352
Other practice location 2
3802 N 53rd Ave Ste 110
Phoenix, AZ 85031-3036
Phone (480) 649-3352
Other practice location 3
6610 N 47th Ave Ste 68
Glendale, AZ 85301-4163
Phone (480) 649-3352
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
| License | State | Type | Specialty |
|---|---|---|---|
| LIAC-11384 | AZ | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sage Counseling, Inc. | Past | Accepting new patients | |
| Sage Counseling, Inc. | Past | Accepting new patients | |
| Sage Counseling, Inc. | 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.
-
- Community/Behavioral Health Agency
- Phoenix, AZ
- NPI 1568970135
-
- Community/Behavioral Health Agency
- Phoenix, AZ
- NPI 1891294021
-
- Community/Behavioral Health Agency
- Phoenix, AZ
- NPI 1942989587
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1771804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1771804800000",
"number": "1295689610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8002 W ROMA AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850332207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15650 N BLACK CANYON HWY STE B121",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850534064",
"telephone_number": "480-649-3352",
"fax_number": "480-649-3358"
}
],
"practiceLocations": [
{
"address_1": "3336 N 32nd St Ste 120",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850186241",
"country_code": "US",
"telephone_number": "480-649-3352",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3802 N 53rd Ave Ste 110",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850313036",
"country_code": "US",
"telephone_number": "480-649-3352",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6610 N 47th Ave Ste 68",
"address_purpose": "LOCATION",
"city": "Glendale",
"state": "AZ",
"postal_code": "853014163",
"country_code": "US",
"telephone_number": "480-649-3352",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "QUEZADA",
"first_name": "EUSEBIO",
"credential": "LIAC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-02-23",
"last_updated": "2026-02-23",
"certification_date": "2026-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "AZ",
"license": "LIAC-11384",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.