MS. JACQUELINE MARIE CONQUEST (NPI# 1326333535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326333535 |
| Entity Type | Individual |
| Full Name | MS. JACQUELINE MARIE CONQUEST |
| Credential | MA., LMHC., CCH |
| Practice Address |
21907 64th Ave W Ste 220 Mountlake Terrace WA 98043-6200 |
| Mailing Address |
16520 72nd Ave Ne Kenmore WA 98028 |
| Practice Telephone | 2063306497 |
| Practice Fax Number | 4256409600 |
| Mailing Telephone | 2063306497 |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2011-06-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LH 00006954 | WA | Behavioral Health & Social Service Providers |
| Street Address |
21907 64TH AVE W STE 220 |
| City | MOUNTLAKE TERRACE |
| State | WA |
| Zip Code | 98043-6200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295015139 | Anne Catherine Grisham-pleas | Counselor | 21907 64th Ave W Ste 220, Mountlake Terrace, WA 98043-6200 | 2011-08-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538785357 | Maria Angelica Lopez | Counselor | 22815 Lakeview Dr Apt 'g' - 308, Mountlake Terrace, WA 98043 | 2020-06-17 |
| 1447891411 | Juana Antonia Hartley | Technician | 4808 221st St. Sw, Mountlake Terrace, WA 98043 | 2019-10-01 |
| 1437709961 | Jamil Vaughn Shoot | Acupuncturist | 21705 56th Ave W, Mount Lake Terrace, WA 98043 | 2019-09-17 |
| 1942709449 | Julie A Hill | Registered Nurse | 22001 44th Ave W, Mountlake Terrace, WA 98043 | 2018-02-09 |
| 1205285004 | Preeti Suryakumar | Occupational Therapist | 23008 56th Ave West, Vineyard Park At Mountlake Terrace, Mountlake Terrace, WA 98043 | 2016-06-13 |
| 1467819623 | Liisa Marlene Geyer | Social Worker | 6021 244th St Sw # 400, Mountlake Terrace, WA 98043 | 2016-01-19 |
| 1346611696 | Isaiah Johnson | Massage Therapist | 21604 66th Ave N, #a, Mountlake Terrace, WA 98043 | 2015-10-13 |
| 1417343260 | Sunanta Angela Astorga | Counselor | 6021 244th St Sw #400, Mountlake Terrace, WA 98043 | 2015-04-08 |
| 1366835746 | Teresa Antoinette White | Chiropractor | 6603 220th St. Sw Suite 100, Mountlake Terrace, WA 98043 | 2015-03-10 |
| 1508156647 | Monica Jean Scott | Massage Therapist | 23009-56 Ave W # B, Mountlake Terrace, WA 98043 | 2011-04-11 |
| Find all providers in zip 98043 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023622131 | Yurushka Martin | Counselor | 21305 52nd Ave W, Mountlake Terrace, WA 98043-3075 | 2020-09-04 |
| 1144838350 | B Young Counseling | Counselor | 21911 64th Ave W Ste 201, Mountlake Terrace, WA 98043-2230 | 2020-07-14 |
| 1922626704 | Lauren Wilde | Counselor | 23205 52nd Ave W, Mountlake Terrace, WA 98043-4801 | 2020-07-08 |
| 1427609692 | Pacific Northwest Therapy Group, Pllc | Counselor | 6912 220th St Sw Ste 120, Mountlake Terrace, WA 98043-2175 | 2019-09-27 |
| 1891213542 | Frank Turner Aldridge | Counselor | 21907 64th Ave W Ste 320, Mountlake Terrace, WA 98043-2299 | 2017-09-01 |
| 1871969683 | Amanda Odell | Counselor | 21907 64th Ave W Ste 240, Mountlake Terrace, WA 98043-6236 | 2015-08-16 |
| 1518305713 | Kathy Sue Wind | Counselor | 21712 58th Ave W, Mountlake Terrace, WA 98043-3128 | 2013-06-10 |
| 1760827802 | Paula Maccormac | Counselor | 21905 64th Ave W Ste 301a, Mountlake Terrace, WA 98043-2251 | 2013-05-02 |
| 1427302777 | Susanne Paris | Counselor | 22001 52nd Ave W, Mountlake Terrace, WA 98043-3311 | 2012-11-07 |
| 1730474388 | Lynnette Elivra Palmer | Counselor | 4303 214th St Sw, Apt. B, Mountlake Terrace, WA 98043-3551 | 2011-06-12 |
| Find all providers in MOUNTLAKE TERRACE | ||||
| City | MOUNTLAKE TERRACE |
| Zip Code | 98043 |
Please comment or provide details below to improve the information on MS. JACQUELINE MARIE CONQUEST.
| 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.