Carly R Quick, QMHA

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

21-QMHA-R-1030 Issued in OR

Practice address

2145 Centennial PLZ
Eugene, OR 97401-2474

Phone

(541) 912-4085

NPI assigned

May 24, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Haugland Learning Center

  • In Home Supportive Care Agency
  • Columbus, OH
  • NPI 1265892400
  NPD (past)
• Haugland, Lamarche, and Ramage LLC

  • Community/Behavioral Health Agency
  • Columbus, OH
  • NPI 1346678190
  NPD (past)

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

{
    "created_epoch": "1558656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620172800000",
    "number": "1124685128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2145 CENTENNIAL PLZ",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012474",
            "telephone_number": "541-912-4085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2145 CENTENNIAL PLZ",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012474",
            "telephone_number": "541-912-4085"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "195 N Grant Ave Ste 250",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432152855",
            "country_code": "US",
            "telephone_number": "440-260-8300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7690 New Market Center Way",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432351976",
            "country_code": "US",
            "telephone_number": "614-602-6473",
            "fax_number": "614-602-6493",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1855 E Dublin Granville Rd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432293516",
            "country_code": "US",
            "telephone_number": "614-267-7003",
            "fax_number": "614-547-1170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUICK",
        "first_name": "CARLY",
        "middle_name": "R",
        "credential": "QMHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-24",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": "S.2001529-TRNE",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OR",
            "license": "21-QMHA-R-1030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0350549",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1639231715",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Quest Diagnostics Clinical Laboratories Inc
• A. Del Quest, LCSW
• Henry Quest, D.M.D.
• Sarah Quest, LMT
• Ileana Quezada, CSFA
• Annie Claire Quigley, LMT
• Joseph Dana Quigley, LICENSED DENTURIST
• Jenna Quillen, M.S.
• Quillin Family Medicine, LLC
• Elizabeth P Quillin, MD

• Case Manager/Care Coordinator in Eugene, OR
• Providers in Eugene, OR by specialty
• Case Manager/Care Coordinator in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.