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MR. JACOB S QUEEN PRSS
NPI 1689406563
Peer Specialist in Charleston, WV

Active since August 19, 2024
2157 GREENBRIER ST, CHARLESTON, WV 25311(304) 553-0051 Get Directions Write a Review

NPPES record last updated: August 19, 2024. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Mr. Jacob S Queen Prss NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JACOB S QUEEN PRSS (NPI 1689406563) is an individual peer specialist in Charleston, West Virginia, licensed in West Virginia (24-9103) and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1689406563
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameMR. JACOB S QUEENCredential: PRSS
Location Address2157 GREENBRIER STCharleston, WV 25311-9623
Mailing Address2157 Greenbrier StCharleston, WV 25311-9623 · (304) 553-0051
Phone(304) 553-0051
Sole ProprietorNo
Enumeration DateAugust 19, 2024
NPPES CertifiedAugust 19, 2024
✔ NPI 1689406563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in WV · 24-9103
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
2157 GREENBRIER ST, Charleston, WV 25311
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JATUE RICHARDSON BA
Counselor (Addiction (Substance Use Disorder))
2157 GREENBRIER ST
CHARLESTON, WV 25311
Kanawha County (304) 344-5924
JAMES M JACKSON COUNSELOR 3
Counselor
2157 GREENBRIER ST
CHARLESTON, WV 25311
Kanawha County (304) 344-5924
JILL LEEAN WOODRUM
Counselor (Addiction (Substance Use Disorder))
2157 GREENBRIER ST
CHARLESTON, WV 25311
Kanawha County (304) 344-5924
MR. JEFFREY MARSHALL SPROUSE MA, LSW
Social Worker
2157 GREENBRIER ST
CHARLESTON, WV 25311
Kanawha County (304) 344-5924
ETHEL AUSTIN BSW
Counselor (Addiction (Substance Use Disorder))
2157 GREENBRIER ST
CHARLESTON, WV 25311
Kanawha County (304) 245-9753
JUSTIN HINKLE RN
Registered Nurse
2157 GREENBRIER ST
CHARLESTON, WV 25311
Kanawha County (304) 344-5924
JANIE D GUTHRIE
Licensed Practical Nurse
2157 GREENBRIER ST
CHARLESTON, WV 25311
Kanawha County (304) 344-5924
SARAH TERRY
Counselor
2157 GREENBRIER ST
CHARLESTON, WV 25311
Kanawha County (304) 344-5924

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacob Queen's NPI number?

The NPI number for Jacob Queen is 1689406563. It was assigned to this individual provider in the NPPES registry on August 19, 2024.

Where is Jacob Queen located?

Jacob Queen practices at 2157 Greenbrier St, Charleston, WV 25311. The listed phone number is (304) 553-0051.

What is Jacob Queen's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Jacob Queen was last updated on August 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.