Quinn H Connick, MA, BA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1219 SE Lafayette St
Portland, OR 97202-3802

Phone

(503) 765-5733

NPI assigned

Nov 7, 2017

Sex

Male

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

Credentials

Bachelor of Arts, Master of Arts

Practice roles

Locations

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.

• Full Spectrum Therapy LLC

  • Counselor
  • Portland, OR
  • NPI 1568008001
  NPD
• Columbiacare Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Portland, OR
  • NPI 1982140588
  NPD (past)

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

{
    "created_epoch": "1510012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1083127567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9455 N RICHMOND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972031650",
            "telephone_number": "831-345-2979",
            "fax_number": "541-858-8167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 SE LAFAYETTE ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972023802",
            "telephone_number": "503-765-5733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNICK",
        "first_name": "QUINN",
        "middle_name": "H",
        "credential": "MA, BA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-07",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taryn Michael Conner
• Teresa Ann Conner
• Valerie Margaret Conner, MS RD CDE
• William Edward Conner
• Lucinda Connery, PMHNP
• Connie Eldridge-Pederson, PHD, PC
• Michelle Conniff
• Trina Hazel Connolly-Fairchild
• Allison M. Connolly, AUD
• Amy Michelle Connolly, LPC

• Mental Health Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; 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.