Active NPI
Qena Ortiz Harris
- Addiction (Substance Use Disorder) Counselor
- Tacoma, WA
National Provider Identifier
1619616422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CO61686709
- Practice address
- 4301 S Pine St Ste 92
Tacoma, WA 98409-7259 - Phone
- (253) 507-5334
- Fax
- (253) 330-5182
- NPI assigned
- May 31, 2022
- Last updated
- Jun 4, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CO61686709 | WA | Primary |
Addresses
Primary practice location
4301 S Pine St Ste 92
Tacoma, WA 98409-7259
Mailing address
4301 S Pine St Ste 92
Tacoma, WA 98409-7259
Phone (253) 507-5334
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2177185 | Medicaid | WA |
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 |
|---|---|---|---|
| CO61686709 | WA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| For the Culture Counseling Services | Current | Accepting new patients |
Locations
4301 S Pine St
Ste 92
Tacoma, WA 98409
Phone (253) 205-4405
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.
-
- Substance Abuse Rehabilitation Facility
- Tacoma, WA
- NPI 1730787763
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748995200000",
"number": "1619616422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4301 S PINE ST STE 92",
"city": "TACOMA",
"state": "WA",
"postal_code": "984097259",
"telephone_number": "253-507-5334",
"fax_number": "253-330-5182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4301 S PINE ST STE 92",
"city": "TACOMA",
"state": "WA",
"postal_code": "984097259",
"telephone_number": "253-507-5334",
"fax_number": "253-330-5182"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "QENA",
"middle_name": "ORTIZ",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-31",
"last_updated": "2025-06-04",
"certification_date": "2025-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WA",
"license": "CO61686709",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2177185",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.