Active NPI
Whillma Quenicka
- Addiction (Substance Use Disorder) Counselor
- Santa Paula, CA
National Provider Identifier
1598818015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 625 E Main St
Santa Paula, CA 93060-2608 - Phone
- (805) 525-4669
- Fax
- (805) 525-5779
- NPI assigned
- Jan 19, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | Primary |
Addresses
Primary practice location
625 E Main St
Santa Paula, CA 93060-2608
Mailing address
4607 Del Rayo CT
Camarillo, CA 93012-4026
Phone (805) 525-4669
Other names 1
- Mrs. Whillma Quenicka
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1598818015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4607 DEL RAYO CT",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930124026",
"telephone_number": "805-525-4669",
"fax_number": "805-525-5779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 E MAIN ST",
"city": "SANTA PAULA",
"state": "CA",
"postal_code": "930602608",
"telephone_number": "805-525-4669",
"fax_number": "805-525-5779"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUENICKA",
"first_name": "WHILLMA",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "WHILLMA",
"last_name": "QUENICKA",
"prefix": "MRS.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Santa Paula, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.