Active NPI
Jordan C Quate, LCMHCA
- Mental Health Counselor
- Pinehurst, NC
National Provider Identifier
1174026058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- A18760
- Practice address
- 80 Memorial Dr
Pinehurst, NC 28374-8707 - Phone
- (910) 336-2904
- Fax
- (910) 725-0255
- NPI assigned
- Mar 16, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | A18760 | NC | Primary |
Addresses
Primary practice location
80 Memorial Dr
Pinehurst, NC 28374-8707
Mailing address
80 Memorial Dr
Pinehurst, NC 28374-8707
Phone (910) 420-5180
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A18760 | NC | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684627200000",
"number": "1174026058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "80 MEMORIAL DR",
"city": "PINEHURST",
"state": "NC",
"postal_code": "283748707",
"telephone_number": "910-420-5180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 MEMORIAL DR",
"city": "PINEHURST",
"state": "NC",
"postal_code": "283748707",
"telephone_number": "910-336-2904",
"fax_number": "910-725-0255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "QUATE",
"first_name": "JORDAN",
"middle_name": "C",
"credential": "LCMHCA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-03-16",
"last_updated": "2023-05-21",
"certification_date": "2023-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NC",
"license": "A18760",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pinehurst, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.