Haley Pegram Quick, LCMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

17934 Issued in NC

Practice address

6614 Shallowford Rd
Lewisville, NC 27023-9303

Phone

(336) 934-5519

NPI assigned

May 8, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

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.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2021

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Achieving Changes Counseling Services, PLLC

  • Clinical Social Worker
  • Clemmons, NC
  • NPI 1871008672

  Mental Health

  Medicare reassignment NPD
• Sage & Serene Counseling PLLC

  • Mental Health Counselor
  • Lewisville, NC
  • NPI 1396612024
  NPD Authorized official
• West Forsyth Pain Management

  • Medical Physician Assistant
  • Clemmons, NC
  • NPI 1053692079
  NPD

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774051200000",
    "number": "1164111985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5126 WALLBURG RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271079598",
            "telephone_number": "336-682-1474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6614 SHALLOWFORD RD",
            "city": "LEWISVILLE",
            "state": "NC",
            "postal_code": "270239303",
            "telephone_number": "336-934-5519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUICK",
        "first_name": "HALEY",
        "middle_name": "PEGRAM",
        "credential": "LCMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-08",
        "last_updated": "2026-03-21",
        "certification_date": "2026-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "17934",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "17934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164111985",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "info@achievingchanges.com",
            "affiliation": "Y",
            "endpointDescription": "Business Email",
            "affiliationName": "Achieving Changes Counseling Services, PLLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2554 Lewisville Clemmons Rd Ste 112",
            "city": "Clemmons",
            "state": "NC",
            "country_code": "US",
            "postal_code": "270129927",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Asia Pepper
• Nixon Pierre, R.T.(R)(CT)MR)
• Kelly Marie Poehailos, LPCA
• Shayna K Pons, MS, CCC/SLP
• Elizabeth Ann Putney, PHARMD
• Reformation Counseling PLLC
• Shawn Arango Ricks, PH.D.,LCAS-A
• Hannah O'Hare Riddle, M.S., CCC-SLP
• Root & Bloom Wellness, PLLC
• Cornelio Roderick Ruperto, MD

• Mental Health Counselor in Lewisville, NC
• Providers in Lewisville, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2026; 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.