Active NPI
Renee McQueen, ED.D.
- Mental Health Counselor
- Panama City, FL
National Provider Identifier
1447922802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH9896
- Practice address
- 525 E 15TH St
Panama City, FL 32405-5400 - Phone
- (850) 522-4485
- Fax
- (850) 257-7967
- NPI assigned
- Oct 4, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH9896 | FL | Primary |
Addresses
Primary practice location
525 E 15TH St
Panama City, FL 32405-5400
Mailing address
525 E 15TH St
Panama City, FL 32405-5400
Phone (850) 522-4485
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MH9896 | Other | FL | FLORIDA LICENSE NUMBER/LICENSED MENTAL HEALTH COUNSELOR |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jmclaren@lmccares.org | ||
| Other URL | https://lmccares.org/ |
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 |
|---|---|---|---|
| MH9896 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633305600000",
"number": "1447922802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "525 E 15TH ST",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324055400",
"telephone_number": "850-522-4485",
"fax_number": "850-257-7967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "525 E 15TH ST",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324055400",
"telephone_number": "850-522-4485",
"fax_number": "850-257-7967"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCQUEEN",
"first_name": "RENEE",
"name_prefix": "Ms.",
"credential": "ED.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-04",
"last_updated": "2021-10-04",
"certification_date": "2021-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH9896",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA LICENSE NUMBER/LICENSED MENTAL HEALTH COUNSELOR",
"identifier": "MH9896",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jmclaren@lmccares.org",
"affiliation": "N",
"endpointDescription": "jmclaren@lmccares.org",
"address_1": "525 E 15th St",
"city": "Panama City",
"state": "FL",
"country_code": "US",
"postal_code": "324055400",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://lmccares.org/",
"affiliation": "N",
"address_1": "525 E 15th St",
"city": "Panama City",
"state": "FL",
"country_code": "US",
"postal_code": "324055400",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Panama City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.