MR. CARLOS G QUIJADA SR. (NPI# 1508265703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508265703 |
| Entity Type | Individual |
| Full Name | MR. CARLOS G QUIJADA SR. |
| Credential | MS, LPC |
| Practice Address |
1701 N Douglas Ave Douglas AZ 85607-1019 |
| Mailing Address |
2851 S Avenue B # 4 Yuma AZ 85364-7726 |
| Practice Telephone | 5203663133 |
| Practice Fax Number | 5203642770 |
| Mailing Telephone | 9283760026 |
| Mailing Fax Number | 9287822298 |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2014-08-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC-14543 | AZ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033692751 | Carlos Manuel Quijada | Counselor | 4201 Medical Dr Ste 330, San Antonio, TX 78229-5805 | 2018-09-09 |
| Street Address |
1701 N DOUGLAS AVE |
| City | DOUGLAS |
| State | AZ |
| Zip Code | 85607-1019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124016019 | Southeastern Arizona Behavioral Health Services, Inc. | Public Health or Welfare | 1701 N Douglas Ave, Douglas, AZ 85607-1019 | 2005-10-13 |
| 1861975047 | Guadalupe G Tapia | Social Worker | 1701 N Douglas Ave, Douglas, AZ 85607-1019 | 2018-09-13 |
| 1750823555 | Zelenia Olivia Pellat | Counselor | 1701 N Douglas Ave, Douglas, AZ 85607-1019 | 2016-11-09 |
| 1346549755 | Genoa Healthcare, LLC | Pharmacy | 1701 N Douglas Ave, Douglas, AZ 85607-1019 | 2011-03-24 |
| 1518150218 | Candace Ilene Weingart | Counselor | 1701 N Douglas Ave, Douglas, AZ 85607-1019 | 2007-08-25 |
| 1265512750 | Natividad Cano | Counselor | 1701 N Douglas Ave, Douglas, AZ 85607-1019 | 2006-10-17 |
| 1528148186 | Pamela Burns | Counselor | 1701 N Douglas Ave, Douglas, AZ 85607-1019 | 2006-10-17 |
| 1669563979 | Colleen Kay Mattson | Counselor | 1701 N Douglas Ave, Douglas, AZ 85607-1019 | 2006-09-28 |
| 1124119003 | Betty Lynn Spering | Counselor | 1701 N Douglas Ave, Douglas, AZ 85607-1019 | 2006-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811472665 | Chiricahua Community Health Centers, Inc | Clinic/Center | 1151 16th Street, Douglas, AZ 85607 | 2018-09-27 |
| 1457758609 | Angela Leah Overturf | Nurse Practitioner | 100 East 5th Street, Douglas, AZ 85607 | 2014-12-02 |
| 1609279108 | Walter Tucker | Counselor | 2100 E 8th, Douglas, AZ 85607 | 2014-09-29 |
| 1851700488 | Gerardo Grijalva | Non-emergency Medical Transport (VAN) | 2714 E 6th St, Douglas, AZ 85607 | 2014-08-07 |
| 1174933246 | Caring Connections for Special Needs, LLC | Community/Behavioral Health | 1019 F Ave, Douglas, AZ 85607 | 2014-04-29 |
| 1831473164 | Cheryl Lynn Mcneeley | Speech-Language Pathologist | 815 E. 15th Street, Douglas, AZ 85607 | 2011-10-05 |
| 1245523364 | Community Intervention Associates | Community/Behavioral Health | 1701 North Douglasave, Douglas, AZ 85607 | 2011-05-23 |
| 1174820898 | Chiricahua Community Health Centers, Inc | Clinic/Center | 815 15th Street, Douglas, AZ 85607 | 2011-02-15 |
| 1033319512 | Community Healthcare of Douglas Inc | Clinic/Center | 1906 11th Street, Douglas, AZ 85607 | 2007-07-23 |
| 1538360888 | Jay Daniel Zamora | Chiropractor | 1915 E 10th St, Douglas, AZ 85607 | 2007-05-31 |
| Find all providers in zip 85607 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609279108 | Walter Tucker | Counselor | 2100 E 8th, Douglas, AZ 85607 | 2014-09-29 |
| 1376737858 | Shirley Ann Strock | Counselor | 715 Highway 93, Douglas, WY 82633-9267 | 2007-08-28 |
| 1780805275 | Candace Matthews Reed | Counselor | 617 Ward St E, Douglas, GA 31533-0301 | 2007-05-01 |
| 1649828831 | New Beginnings Counseling LLC | Counselor | 322 E Center St, Douglas, WY 82633-2541 | 2019-08-30 |
| 1225497324 | Positive Alternatives Counseling | Counselor | 617 Ward St E, Douglas, GA 31533-0301 | 2016-02-17 |
| 1891186490 | Brandelyn Baggett Smith | Counselor | 617 Ward St E, Douglas, GA 31533-0301 | 2015-02-18 |
| 1518023753 | Jane Stearns | Counselor | 310 S 4th St, Douglas, WY 82633-2530 | 2006-12-30 |
| 1134296650 | Shirley D. Blakeley | Counselor | 1841 Madora Ave, Douglas, WY 82633-3057 | 2006-11-29 |
| 1073680518 | Stacie L. Thoma | Counselor | 1841 Madora Ave, Douglas, WY 82633-3057 | 2006-11-29 |
| 1528148186 | Pamela Burns | Counselor | 1701 N Douglas Ave, Douglas, AZ 85607-1019 | 2006-10-17 |
| Find all providers in DOUGLAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.