Quintisha China

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C012122 Issued in NC

Practice address

2530 Meridian Pkwy Ste 300
Durham, NC 27713-5273

Phone

(919) 519-5432

NPI assigned

Apr 23, 2019

Sex

Female

Sole proprietor

No

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.

• Brightside Medical of New Jersey, P.C.

  • Psychiatry Physician
  • San Francisco, CA
  • NPI 1811524754

  NC

  Medicare reassignment Care Compare group NPD
• Lighthouse Counseling Ministries

  • Clinical Social Worker
  • Durham, NC
  • NPI 1023765765

  Clinical

  NPD Authorized official
• Ancora Counseling Center, PC

  • Professional Counselor
  • Cary, NC
  • NPI 1881001691
  NPD (past)

Specialty

Clinical Social Worker

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Brightside Medical of New Jersey PC 61 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 15, 2022.

{
    "created_epoch": "1555977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1093379232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 CLAYSTONE DR",
            "city": "GIBSONVILLE",
            "state": "NC",
            "postal_code": "272492883",
            "telephone_number": "919-519-5432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 MERIDIAN PKWY STE 300",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277135273",
            "telephone_number": "919-519-5432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHINA",
        "first_name": "QUINTISHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-23",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C012122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirk A Childers, D.C.
• Faith C. Chilongo, PSY.D
• Andrea Janelle Chilton
• Mohan M Chilukuri, MD
• Vani Chilukuri, M.D.
• Siven Chinniah
• Junzo Paul Chino, M.D.
• Susan Marie Chioffi, N.P.
• Chiropractic Health and Wellness,PLLC
• Chiropractic Health Services, Inc.

• All providers in Durham, NC
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.