Adele Queener

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

941 El Dorado Ave
Santa Cruz, CA 95062-2863

Phone

(831) 479-9494

NPI assigned

Nov 25, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Encompass Community Services

  • Mental Illness Community Based Residential Treatment Facility
  • Santa Cruz, CA
  • NPI 1447474853
  NPD (past)

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

{
    "created_epoch": "1606262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606262400000",
    "number": "1770187254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 ENCINAL ST STE 200",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950602178",
            "telephone_number": "831-469-1700",
            "fax_number": "831-425-1905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "941 EL DORADO AVE",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950622863",
            "telephone_number": "831-479-9494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUEENER",
        "first_name": "ADELE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-25",
        "last_updated": "2020-11-25",
        "certification_date": "2020-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samiullah Qasemi
• Yingwei Qi, M.D.
• Gary Quan
• Ottilia E Quandt
• Lakia Niema Queen, AMFT
• Cecilia Quezada
• Lorenzo Anthony Quick
• Thomas Edwin Quigg, D.O
• Robert Gary Quimilman
• Elizabeth A. Quinn, M.S., D.C.

• All providers in Santa Cruz, CA
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2020; 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.