Active NPI
Tiauna Queen, QMHSIII
- Peer Specialist
- Cleveland, OH
National Provider Identifier
1508435546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- APS.003028
- Practice address
- 3214 Prospect Ave E
Cleveland, OH 44115-2614 - Phone
- (216) 910-9015
- NPI assigned
- Jun 23, 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 |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | APS.003028 | OH | Primary |
Addresses
Primary practice location
3214 Prospect Ave E
Cleveland, OH 44115-2614
Mailing address
3214 Prospect Ave E
Cleveland, OH 44115-2614
Phone (216) 910-9015
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000000 | Other | OH | QMHSIII |
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 |
|---|---|---|---|
| APS.003028 | OH | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744156800000",
"number": "1508435546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3214 PROSPECT AVE E",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441152614",
"telephone_number": "216-910-9015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3214 PROSPECT AVE E",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441152614",
"telephone_number": "216-910-9015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUEEN",
"first_name": "TIAUNA",
"credential": "QMHSIII",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-23",
"last_updated": "2025-04-09",
"certification_date": "2025-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "OH",
"license": "APS.003028",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "QMHSIII",
"identifier": "000000000",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.