Jadyn Inez McQueen, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

C.2204549 Issued in OH

Practice address

11311 Cornell Park Dr Ste 205
Blue Ash, OH 45242-1891

Phone

(513) 940-7175

Fax

(513) 982-2525

NPI assigned

Sep 8, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1662595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1467173369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11311 CORNELL PARK DR STE 205",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452421891",
            "telephone_number": "513-940-7175",
            "fax_number": "513-982-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11311 CORNELL PARK DR STE 205",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452421891",
            "telephone_number": "513-940-7175",
            "fax_number": "513-982-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCQUEEN",
        "first_name": "JADYN",
        "middle_name": "INEZ",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-08",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "OH",
            "license": "C.2204549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon N. McMannis, LISW
• Marcus J McNeil, MSW, LSW
• Deanna McPeek, LPCC
• Kelsey L McPherson
• Brianna McQueen, LISW-S
• Janelle Sherida McWilson
• Evelyne Catherine Mechas
• Gregory Bruns Mecoli, M.D.
• Julie A Medford, LSW
• Medical Service Company

• Counselor in Blue Ash, OH
• Providers in Blue Ash, OH by specialty
• Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; 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.