Karisa Quick Licensed Professional Clinical Counselor

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

KARISA QUICK LICENSED PROFESSIONAL CLINICAL COUNSELOR

Doing business as

That Gay Therapist

Practice address

5083 Columbia Dr
Fontana, CA 92336-0617

Phone

(909) 808-9607

NPI assigned

Jan 17, 2022

Last updated

Feb 8, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Karisa Nicole Quick, LPCCNPI 1336614940

Title

Owner/Ceo

Phone

(909) 808-9607

Specialties & licenses 1

Addresses

Other names 1

• That Gay Therapist Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Karisa Nicole Quick

  • Mental Health Counselor
  • Upland, CA
  • NPI 1336614940
  NPD Authorized official

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

{
    "created_epoch": "1642377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644278400000",
    "number": "1467103846",
    "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": "909-808-9607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5083 COLUMBIA DR",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923360617",
            "telephone_number": "909-808-9607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KARISA QUICK LICENSED PROFESSIONAL CLINICAL COUNSELOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-17",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A",
        "authorized_official_last_name": "QUICK",
        "authorized_official_first_name": "KARISA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "909-808-9607",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "That Gay Therapist",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sarmukh Singh Kang, DDS
• Wook S Kang, M.D.
• Robert H Kapadia, CRNA
• Kenneth Martin Karaan, PT
• Oganes Karapetian, DDS
• Almira Tescha Stephanie Karpenko, MD
• Karen Kartun, M.D.
• Shaila Movida Kashem-Guale, NP
• Zain Kashif, MD
• Georgina Kasih

• Professional Counselor in Fontana, CA
• Providers in Fontana, CA by specialty
• Professional Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; 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.