NPIMap

Organization Active NPI

CQC Healthcare, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Washington, DC
National Provider Identifier
1023634573
Registry record updated Jun 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
CQC HEALTHCARE, LLC
Practice address
1100 New Jersey Ave SE # 2145
Washington, DC 20003-3302
Phone
(202) 743-4274
NPI assigned
Jun 21, 2020
Last updated
Jun 21, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2020

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

Authorized official

Name
Corrie Turpin, LICSWNPI 1659873065
Title
Chief Operations Officer
Phone
(301) 710-8646

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

1100 New Jersey Ave SE # 2145
Washington, DC 20003-3302

Mailing address

1100 New Jersey Ave SE # 2145
Washington, DC 20003-3302

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Washington Direct

National Provider Directory

National Provider Directory

Locations

1100 New Jersey Ave SE
#2145
Washington, DC 20003
Phone (202) 743-4274

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1592697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592697600000",
    "number": "1023634573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 NEW JERSEY AVE SE # 2145",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200033302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 NEW JERSEY AVE SE # 2145",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200033302",
            "telephone_number": "202-743-4274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CQC HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-21",
        "last_updated": "2020-06-21",
        "certification_date": "2020-06-21",
        "status": "A",
        "authorized_official_last_name": "TURPIN",
        "authorized_official_first_name": "CORRIE",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "301-710-8646",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Washington",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1100 New Jersey Ave SE # 2145",
            "city": "Washington",
            "state": "DC",
            "country_code": "US",
            "postal_code": "200033302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.