Karisa Nicole Quick

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

APCC5379 Issued in CA

Practice address

231 N Euclid Ave
Upland, CA 91786-6038

Phone

(909) 815-9841

NPI assigned

Oct 10, 2018

Last updated

Oct 10, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Karisa Quick Licensed Professional Clinical Counselor

  dba That Gay Therapist

  • Professional Counselor
  • Fontana, CA
  • NPI 1467103846
  NPD Authorized official
• Metamorphosis- an Intensive Outpatient Experience by Norina Murphy

  dba Metamorphosis- An Intensive Outpatient Experience

  • Clinical Social Worker
  • Upland, CA
  • NPI 1487287322
  NPD (past)
• Norina Murphy MSW, LCSW & Associates

  • Clinical Social Worker
  • Upland, CA
  • NPI 1952852576
  NPD (past)

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

{
    "created_epoch": "1539129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539129600000",
    "number": "1336614940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5083 COLUMBIA DR",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923360617",
            "telephone_number": "760-508-1320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 N EUCLID AVE",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917866038",
            "telephone_number": "909-815-9841"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5083 Columbia Drive",
            "address_purpose": "LOCATION",
            "city": "Fontana",
            "state": "CA",
            "postal_code": "92336",
            "country_code": "US",
            "telephone_number": "760-508-1320",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUICK",
        "first_name": "KARISA",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-10",
        "last_updated": "2018-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "APCC5379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele Ann Putini, LMFT
• Faisal M Qazi, D.O.
• Quality DME
• Karen M Quevedo
• Twinkle Quiapo-Valido, PT
• Danielle Quigg, FNP-C
• Carolyn V Quintana, LMFT
• Jenny Rae Quinton, PT
• Sarah Madisyn Rabitoy, OTR/L
• Andrew William Radcliffe

• Mental Health Counselor in Upland, CA
• Providers in Upland, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2018; 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.