Individual provider Active NPI

Quiana Natasha Watson

  • Mental Health Counselor
  • Philadelphia, PA
National Provider Identifier
1487491130
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
PC017726 Issued in PA
Practice address
1626 Locust St
Philadelphia, PA 19103-6305
Phone
(646) 941-7645
NPI assigned
Jul 10, 2024
Last updated
Apr 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X PC017726 PA Primary

Addresses

Primary practice location

1626 Locust St
Philadelphia, PA 19103-6305

Mailing address

502 W 7TH St Ste 100
Erie, PA 16502-1333
Phone (610) 333-2829

Other practice location 1

653 Skippack Pike Ste 300-35
Blue Bell, PA 19422-1742
Phone (215) 948-9454

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

LicenseStateTypeSpecialty
PC017726PAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Abundant Life Holistic Wellness Mental Health PastSince Apr 13, 2025 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: quiana.watson.1@32853.direct.athenahealth.com

Organizations & group practices 1

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": "1720569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1487491130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 W 7TH ST STE 100",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165021333",
            "telephone_number": "610-333-2829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1626 LOCUST ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191036305",
            "telephone_number": "646-941-7645"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "653 Skippack Pike Ste 300-35",
            "address_purpose": "LOCATION",
            "city": "Blue Bell",
            "state": "PA",
            "postal_code": "194221742",
            "country_code": "US",
            "telephone_number": "215-948-9454",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATSON",
        "first_name": "QUIANA",
        "middle_name": "NATASHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-10",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "PA",
            "license": "PC017726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; 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.