Individual provider Active NPI

Anselmo Quezada, MS

  • Mental Health Counselor
  • Kennewick, WA
National Provider Identifier
1750325270
Registry record updated Jun 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
RC00054017 Issued in WA
Practice address
216 W 10TH Ave
Kennewick, WA 99336-6300
Phone
(509) 870-9150
NPI assigned
Jun 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2026

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 RC00054017 WA Primary

Addresses

Primary practice location

216 W 10TH Ave
Kennewick, WA 99336-6300

Mailing address

PO Box 959
Yakima, WA 98907-0959
Phone (509) 575-8084

Other practice location 1

201 S 2nd Ave
Yakima, WA 98902-3464
Phone (509) 469-2085

Other practice location 2

505 S 4th Ave
Yakima, WA 98902-3547
Phone (509) 576-4304

Other practice location 3

402 S 4th Ave
Yakima, WA 98902-3546
Phone (509) 575-4084

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
RC00054017WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Healthcare - Benton County Past Accepting new patients
Cityview Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780963200000",
    "number": "1750325270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 959",
            "city": "YAKIMA",
            "state": "WA",
            "postal_code": "989070959",
            "telephone_number": "509-575-8084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 W 10TH AVE",
            "city": "KENNEWICK",
            "state": "WA",
            "postal_code": "993366300",
            "telephone_number": "509-870-9150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 S 2nd Ave",
            "address_purpose": "LOCATION",
            "city": "Yakima",
            "state": "WA",
            "postal_code": "989023464",
            "country_code": "US",
            "telephone_number": "509-469-2085",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "505 S 4th Ave",
            "address_purpose": "LOCATION",
            "city": "Yakima",
            "state": "WA",
            "postal_code": "989023547",
            "country_code": "US",
            "telephone_number": "509-576-4304",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "402 S 4th Ave",
            "address_purpose": "LOCATION",
            "city": "Yakima",
            "state": "WA",
            "postal_code": "989023546",
            "country_code": "US",
            "telephone_number": "509-575-4084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUEZADA",
        "first_name": "ANSELMO",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2026-06-09",
        "certification_date": "2026-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "RC00054017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennewick, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2026; 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.