Organization Active NPI

Quincy Asian Resources Inc

  • Mental Health Counselor
  • Quincy, MA
National Provider Identifier
1144923160
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
QUINCY ASIAN RESOURCES INC
Practice address
1509 Hancock St Ste 209
Quincy, MA 02169-5242
Phone
(617) 472-2200
NPI assigned
Mar 27, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

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

Authorized official

Name
Emily Canner, CHIEF OPERATING OFFI
Title
Chief Operating Officer
Phone
(617) 482-2200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1509 Hancock St Ste 209
Quincy, MA 02169-5242

Mailing address

1509 Hancock St Ste 209
Quincy, MA 02169-5242
Phone (617) 472-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231207000120 MA Part B Supplier - Clinic/Group Practice 6406205137 Receives reassigned benefits from 4 practitioners
Practice locations: Quincy, MA

National Provider Directory

National Provider Directory

Locations

1509 Hancock St
Ste 209
Quincy, MA 02169
Phone (617) 472-2200

275 Hancock St
Quincy, MA 02171
Phone (617) 472-2200

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679875200000",
    "number": "1144923160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 HANCOCK ST STE 209",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021695242",
            "telephone_number": "617-472-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1509 HANCOCK ST STE 209",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021695242",
            "telephone_number": "617-472-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUINCY ASIAN RESOURCES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-27",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A",
        "authorized_official_last_name": "CANNER",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "617-482-2200",
        "authorized_official_credential": "CHIEF OPERATING OFFI"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.